急性ST段抬高型心肌梗死患者经皮冠状动脉介入治疗后出院死亡调查

发布时间：2018-10-05 17:10

【摘要】：目的探讨急性ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)后出院死亡情况及其危险因素。方法回顾性分析本院413例行急诊PCI的STEMI患者的临床资料并进行随访调查,随访终点为出院后全因死亡,记录患者出院死亡情况并分析影响出院死亡的相关因素。结果平均随访时间26.38±14.21月。随访期间共有27例死亡,43例失访,失访率10.4%。COX比例风险模型分析显示,年龄≥60岁(HR=8.927,P=0.037)和Killip分级Ⅰ级(HR=2.546,P=0.034)与STEMI患者PCI术后出院死亡相关。所有随访患者出院后1年、2年、3年、4年的累积死亡率分别为4.9%、7.3%、7.9%、10.1%。年龄≥60岁组患者出院后1年、2年、3年、4年累积死亡率显著高于年龄60岁组(7.7%比0.7%,11.6%比0.7%,12.7%比0.7%,16.0%比0.7%,均P0.001)。KillipⅠ级组患者出院后1年、2年、3年、4年累积死亡率也比KillipⅠ级组高(12.7%比2.5%,19.8%比3.5%,19.8%比4.4%,26.5%比5.5%,均P0.001)。结论 STEMI患者PCI术后出院死亡率仍较高。年龄≥60岁和Killip分级Ⅰ级是STEMI患者PCI术后出院死亡的独立危险因素。
[Abstract]:Objective to investigate the mortality and risk factors of patients with acute ST segment elevation myocardial infarction (STEMI) after percutaneous coronary intervention (PCI) for (PCI). Methods the clinical data of 413 STEMI patients who underwent emergency PCI were retrospectively analyzed and followed up. The end point of follow up was all death after discharge. The death status of discharged patients was recorded and the related factors affecting discharge death were analyzed. Results the mean follow-up time was 26.38 卤14.21 months. During the follow-up period, 27 patients died and 43 patients lost their visits. The 10.4%.COX proportional risk model analysis showed that age 鈮，

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