301 例急性心肌梗死病人急性期预后因素的非条件 Logistic 模型分析  

Non conditional Logistic Model Multivariate Analysis on Prognosticate Factor for 301 Acute Myocardial Infarction Cases

作　　者：汤乃军[1] 田凤石[1] 耿贯一[1] 

机构地区：[1]天津公安医院天津医科大学卫生系

出　　处：《中国慢性病预防与控制》1997年第2期56-58,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：本文对天津某医院３０１例急性心肌梗死病人的预后进行了分析。在３０１例病人中存活２４３人，死亡５８人。急性期病死率为１９．２７％。经非条件Ｌｏｇｉｓｔｉｃ回归模型对多因素调整，发现ＡＭＩ的预后与以下４个因素有密切关系：年龄（ＯＲ＝１．００３９５％ＣＩ１．００３～１．０７６）；糖尿病史（ＯＲ＝２．５３９９５％ＣＩ１．０５０～６．１３８）；心律失常（ＯＲ＝３．２４４９５％ＣＩ１．６０２～６．５６６）；心衰（ＯＲ＝３．５９７９５％ＣＩ１．８２５～７．０８８）。说明以上４个因素是影响急性心肌梗死急性期预后的主要因素。Non conditional logistic model multivariate analysis was used on the prognosticate factors for 301 acute myocardial infarction (AMI) patients.There were 243 cases survival and 58 cases died among them.The fatality rate during acute period was 19 27%.The prognostics of AMI patients related to age,history of diabetes,heart failure,value of blood sugar,location of infarction and arrhythmia by using single actor analysis were also applied.The results showed that prognosticate of AMI cases closely related to the four factors:1.Age (OR=1 003,95% CI 1 003￣1 076);2.History of diabetes(OR=2 539 95%CI 1 050￣6 138);3.Arrhythmia (OR=3 244 95% CI=1 602￣6 566);4.Heart failure (OR=3 597 95% CI=1 825￣7 088).It suggested that regulation of arrhythmia and prevention of heart failure were most important procedures for preventing death from AMI.Especially in senior cases or complicating with diabetes.

关 键 词：急性 心肌梗死 病死率 预后因素 

分 类 号：R542.220.1[医药卫生—心血管疾病]