急性心肌梗死院内死亡危险因素分析

发布时间：2018-06-19 00:27

本文选题：心肌梗死 + 死亡　；参考：《心血管康复医学杂志》2015年02期

【摘要】：目的:探讨急性心肌梗死(AMI)病人院内死亡的独立危险因素。方法:回顾性分析我院2011~2013年在我院住院期间,确诊为AMI的患者614例的临床资料,根据AMI患者住院期间存活与否,分为死亡组(62例)和存活组(552例),用单变量和多变量Logistic回归分析所有患者的基线特征因素和治疗方法与院内死亡的关系。结果:62例死亡患者平均年龄(66.58±12.87)岁,男性39例(62.9%),院内死亡率为10.10%(62/614),多变量Logistic回归分析筛选出与AMI院内死亡相关的独立危险因素为:年龄(OR=3.065,95%CI:1.188~7.915)、女性(OR=2.775,95%CI:1.200~6.419)、心率(OR=2.836,95%CI:1.405~5.722)、血糖(OR=1.943,95%CI:1.186~3.184)、Killip IV级(OR=1.744,95%CI:1.211~2.513)、3支或左主干病变(OR=3.157,95%CI:1.244~8.014),P0.05~0.01。结论:高龄、女性、心率增快、入院血糖水平高、KillipIV级、3支或左主干病变可能是急性心肌梗死院内死亡的独立危险因素。
[Abstract]:Objective: To investigate the independent risk factors of hospital death in patients with acute myocardial infarction (AMI). Methods: a retrospective analysis of the clinical data of 614 patients diagnosed as AMI during the hospitalization of 2011~2013 in our hospital was divided into 62 cases (552 cases) and the death group (552 cases) according to the survival of the patients in the hospital during the period of hospitalization, with the single and multivariable Logistic returns. The relationship between baseline characteristics of all patients and the relationship between treatment and hospital mortality was analyzed. Results: the average age of 62 cases of death (66.58 + 12.87), male 39 (62.9%), and hospital mortality was 10.10% (62/614). The independent risk factors associated with AMI hospital death were selected by multivariable Logistic regression analysis: age (OR=3.065,95%CI:1. 188~7.915), women (OR=2.775,95%CI:1.200~6.419), heart rate (OR=2.836,95%CI:1.405~5.722), blood glucose (OR=1.943,95%CI:1.186~3.184), Killip IV grade (OR=1.744,95%CI:1.211~2.513), 3 or left main disease (OR=3.157,95%CI:1.244~8.014), P0.05~0.01. conclusion: age, female, heart rate increase, high blood glucose level, KillipIV, 3 or left The main lesion may be an independent risk factor for in-hospital mortality in patients with acute myocardial infarction.
【作者单位】：新疆医科大学第一附属医院心脏中心;
【分类号】：R542.22

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