急性心肌梗死患者院内并发心室颤动的危险因素分析

发布时间：2018-05-24 21:51

  本文选题：急性心肌梗死 + 心室颤动　； 参考：《广东医学》2016年09期

【摘要】：目的探讨影响急性心肌梗死(AMI)患者院内并发心室颤动(VF)的危险因素。方法 885例AMI患者根据住院期间是否发生VF分成两组:VF组(n=28)和非VF组(n=857),回顾性分析两组患者的临床资料,并对相关危险因素进行单因素及多因素分析,探讨AMI患者院内发生VF的独立危险因素。结果 885例AMI患者中,28例发生VF(3.1%)。单因素分析表明,VF组患者的入院时收缩压和左室射血分数(EF)明显低于非VF组(P0.05);而慢性肾功能不全病史、前壁心肌梗死、心房颤动、Killip分级Ⅱ级和心源性休克患者的比例,以及心率、呼吸频率、空腹血糖、血清肌酐(Cr)、血清肌酸激酶MB同工酶(CK-MB)和血清肌钙蛋白Ⅰ(c TNI)等指标均明显高于非室颤组,差异有显著性意义(P0.05)。多因素Logistic回归分析表明,慢性肾功能不全(OR=2.313)、心源性休克(OR=4.193)、心房纤颤(OR=2.823)、Killip分级Ⅱ级(OR=3.674)是AMI患者住院期间并发VF的独立危险因素。结论慢性肾功能不全、心源性休克、心房纤颤、Killip分级Ⅱ级是急性心肌梗死患者住院期间并发室颤的独立危险因素。
[Abstract]:Objective to investigate the risk factors of ventricular fibrillation (VF) in patients with acute myocardial infarction (AMI). Methods Eighty-five patients with AMI were divided into two groups according to whether VF occurred during hospitalization. The clinical data of the two groups were analyzed retrospectively, and the related risk factors were analyzed by univariate and multivariate analysis. Objective: to investigate the independent risk factors of hospital VF in patients with AMI. Results of the 885 patients with AMI, 28 had VF3. 1. Univariate analysis showed that systolic blood pressure (SBP) and left ventricular ejection fraction (EFF) were significantly lower in the VF group than in the non-VF group (P 0.05), while the proportion of patients with chronic renal insufficiency, anterior wall myocardial infarction, atrial fibrillation Killip grade 鈪，

本文编号：1930703