急性ST段抬高型心肌梗死直接PCI术后无复流的相关因素分析

发布时间：2018-06-15 10:19

本文选题：急性心肌梗死 + 直接PCI　；参考：《医学与哲学(B)》2016年10期

【摘要】：确定急性ST段抬高型心肌梗死直接经皮冠状动脉介入治疗术后无复流的相关因素。根据入选及排除标准,连续选取锦州医科大学附属第一医院2014年5月~2015年5月的急性ST段抬高型心肌梗死患者203例,38例(18.7%)发生了无复流现象,分析正常血流组和无复流组的临床及造影资料,发现年龄、白细胞计数、术前血糖、ST段抬高幅度、梗死相关血管开通时间、术前收缩压、高敏C反应蛋白、术前killip分级、血栓负荷量及犯罪血管长度十个因素差异显著(P0.05),单因素及多因素分析发现其中五个因素为无复流的危险因素(P0.05)。这为急性ST段抬高型心肌梗死直接PCI时机的选择提供了临床参考。
[Abstract]:To determine the factors associated with no reflow after direct percutaneous coronary intervention in patients with acute St segment elevation myocardial infarction. According to the selection and exclusion criteria, 203 patients with acute ST-segment elevation myocardial infarction from May 2014 to May 2015 were selected from the first affiliated Hospital of Jinzhou Medical University. The clinical and angiographic data of normal blood flow group and non-reflow group were analyzed. Age, white blood cell count, preoperative elevation of blood glucose and St segment, opening time of infarct related vessels, systolic blood pressure before operation, Gao Min C-reactive protein, preoperative killip grade were found. Ten factors of thrombus load and length of blood vessel of crime were significantly different (P 0.05). Single factor and multivariate analysis showed that five of them were risk factors of no reflow (P 0.05). This provides a clinical reference for the choice of direct PCI timing for acute St segment elevation myocardial infarction.
【作者单位】：锦州医科大学附属第一医院心内科;
【基金】：2014年辽宁省教育厅资助项目,项目编号:30456023
【分类号】：R542.22

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