糖化血红蛋白与急性心肌梗死患者经皮冠状动脉介入术后无复流危险因素相关性
[Abstract]:Objective to investigate the correlation between glycosylated hemoglobin (HbA1c) and no reflow risk factors after percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI). Methods 65 patients with AMI who received PCI were treated as observation group and 135 patients with normal blood flow as control group. Results the history of pre-infarction angina pectoris (蠂 ~ 2 / 24.179 / P0.041), preoperative thrombolytic (TIMI) grade (蠂 ~ (2 +) 7.729 / P ~ (0.005), serum total cholesterol (TG) (1.146), triglyceride (TC) () t1.017 (0.310), high-density lipoprotein cholesterol (HDL-C) (t _ (1.594) P _ (0.113), low density lipoprotein cholesterol (LDL) _ C (t _ (0.746P _ (0.456), leucocyte count) were significantly different between the two groups (P0.05). There was no significant difference in the number of (WBC) (t0. 975 (P < 0. 331), troponin (c Tn I) (0. 684) P0. 495), creatine kinase isoenzyme (t0. 958% P0. 339) (P0.05), the level of HbA1c in the observation group was higher than that in the control group (t = 2. 467 P0. 015), there was no significant difference between the two groups in the history of diabetes mellitus (HbA1c., Killip grade), there was no significant difference between the two groups (P0. 015). There was significant difference in left ventricular ejection fraction (LVEF) between the two groups (P0.05). The results of Logistic regression analysis showed that there were no risk factors of reflow after PCI in the two groups of HbA1c elevation group, diabetes history, angina pectoris before infarction, Preoperative TIMI blood flow grade and HbA1cU LVEF level were independent risk factors for no reflow after PCI in patients with elevated AMI HbA1c. Conclusion the left ventricular systolic function is further affected by the increase of HbA1c in patients without reflow after PCI. Diabetes history, pre-infarction angina pectoris, increased preoperative TIMI blood flow grade and increased HBA _ 1c level, left ventricular dysfunction were independent risk factors for no reflow after PCI in patients with elevated AMI HbA1c.
【作者单位】: 沧州市人民医院;
【分类号】:R542.22
【参考文献】
相关期刊论文 前2条
1 王军;华琦;李康;王丽;王云飞;李小明;薛淞;江大川;孔强;胡少东;张钰聪;邵强;刘马超;赵霞;王姗;韩涛;金蔚英;王竞雄;李静;;急性心肌梗死再灌注时机对患者预后的影响[J];中国心血管杂志;2014年06期
2 Koushik Reddy;Asma Khaliq;Robert J Henning;;Recent advances in the diagnosis and treatment of acute myocardial infarction[J];World Journal of Cardiology;2015年05期
【共引文献】
相关期刊论文 前2条
1 黄贵奇;李德栋;罗理宁;王俊谊;颜程光;;老年前壁急性心肌梗死患者高侧壁下壁导联ST段变化预测前降支阻塞的部位[J];中华老年心脑血管病杂志;2015年11期
2 杨晓伟;程何祥;陶凌;王海昌;苑媛;;重视并提高心电向量理论在心电图教学中的地位[J];中国医学创新;2015年21期
相关硕士学位论文 前1条
1 杨秋香;丹参素冰片酯对缺氧复氧诱导H9c2细胞损伤的保护作用及其机制研究[D];西北大学;2015年
【二级参考文献】
相关期刊论文 前3条
1 赵映;陈韵岱;田峰;王长华;胡舜英;王晶;杨俊杰;;急性心肌梗死患者急诊PCI术后无复流的危险因素分析[J];南方医科大学学报;2012年02期
2 徐广马;胡昌兴;林英忠;刘伶;覃绍明;伍广伟;林虹;;急诊经皮冠状动脉介入术开通梗死相关血管时程变化对急性ST段抬高型心肌梗死早期预后的影响[J];临床心血管病杂志;2011年08期
3 ;Assessment of left ventricular segmental function after autologous bone marrow stem cells transplantation in patients with acute myocardial infarction by tissue tracking and strain imaging[J];Chinese Medical Journal;2005年14期
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