急性心肌梗死并发泵衰竭的危险因素分析  

Analysis of Risk Factors of Acute Myocardial Infarction with Heart Failure

作　　者：梁彩倩[1] 张永标[1] 刘智勇[1] 赵锋 

机构地区：[1]中山大学附属第三医院急诊科,510630

出　　处：《岭南急诊医学杂志》2006年第4期247-248,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨急性心肌梗死(AMI)患者并发泵衰竭的危险因素。方法:对96例泵衰竭与139例不伴泵衰竭的AMI患者的临床资料进行对比分析,采用单因素与多因素Logistic回归分析筛选AMI并发泵衰竭的危险因素。结果:心肌梗死病史与心肌多部位梗死是AMI并发泵衰竭的独立危险因素(OR分别为2.318、2.968),而成功溶栓及早期介入治疗则是保护因素(OR分别为0.067、0.163)。结论:对有心肌梗死病史或多部位梗死的AMI患者应提高警惕,密切注意其泵衰竭的发生;早期积极的心肌再灌注治疗可有效预防AMI患者发生泵衰竭。Objective： To investigate the risk factors of acute myocardial infarction （AMI）with heart failure （HF）. Methods： Clinical data of 96 cases of AMI with HF and 139 cases of AMI without HF were compared and analyzed retrospectively. Multivariate Logistic regression analysis was used to survey the risk factors of AMI with HF. Results： The history of previous MI （OR=2.318） and multiple positions AMI （OR=2.968）were the independent risk factors for HF. Thrombolytic therapy（OR=0.067） and PCI（OR=0.163） were the protective factors. Conclusion： Pay more attention to the patients with AMI, especially those having the history of previous MI or suffering from multiple positions AMI; Early reverfusion intervention can effectively prevent the comalication of HF.

关 键 词：急性心肌梗死 泵衰竭 危险因素 

分 类 号：R542.22[医药卫生—心血管疾病] R733.71[医药卫生—内科学]