急诊经皮冠状动脉介入治疗急性ST段抬高型心肌梗死患者的住院期间预后分析

发布时间：2018-11-16 15:33

【摘要】：目的:分析急诊经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗急性心肌梗死(acute myocardial infarction,AMI)患者的病例资料,旨在探讨影响急诊PCI治疗AMI患者住院期间不良预后的相关因素。方法:回顾性分析2010年1月至2014年12月中南大学湘雅二医院行急诊PCI治疗AMI的患者资料,根据是否发生心血管不良事件分为事件组及非事件组,比较两组间可能引起心血管不良事件发生的相关因素。结果:不良事件的发生率为22%(67/304);通过t检验或χ2检验发现:肌酐,脑钠肽(brain natriuretic peptide,BNP),红细胞比容,白细胞、年龄75岁,Killip分级≥2级,术后心肌梗死溶栓治疗(thrombolysis in myocardial infarction,TI MI)血流≤2级,术前发生心律失常、多支病变,术后2 h ST段回落率50%,长就诊至球囊扩张(door-to-balloon,D2B)时间差异具有统计学意义(P0.05),进一步进行logistic回归分析,其结果显示:红细胞比容(red blood cell specific volume,HCT)、N端脑钠肽激素原前体(N-terminal pro-brain natriuretic peptide,NTpro BNP)、Ki l lip分级≥2级、术后TI MI血流≤2级、术后2 h ST段回落率50%、长D2B时间是心血管不良事件发生的重要影响因素。结论:HCT,NT-pro BNP,Killip分级≥2级,术后TIMI血流≤2级,术后2 h ST段回落率50%、长D2B时间是心血管不良事件发生的重要影响因素,对上述高危患者进行积极的监测与处理,能够有效改善AMI患者急诊PCI术后的预后,减少住院期间不良事件的发生。
[Abstract]:Objective: to analyze the data of patients with acute myocardial infarction (acute myocardial infarction,AMI) treated with emergency percutaneous coronary intervention (percutaneous coronary intervention,PCI). Methods: the data of AMI patients treated with emergency PCI in Xiangya second Hospital of Central South University from January 2010 to December 2014 were analyzed retrospectively. According to whether cardiovascular adverse events occurred, they were divided into event group and non-event group. To compare the risk factors of cardiovascular adverse events between the two groups. Results: the incidence of adverse events was 22% (67 / 304). T test or 蠂 2 test showed that: creatinine, brain natriuretic peptide (brain natriuretic peptide,BNP), erythrocyte volume, white blood cell, age 75 years old, Killip grade 鈮，

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