Q波型与非Q波型心肌梗死患者的近期预后  

Prognosis in patients of acute myocardial infarction with and without Q-wave

作　　者：李俊[1,2] 祝海成[1,2] 邬贻萍[1,2] 

机构地区：[1]青岛市市立医院心血管病研究室 [2]青岛市市立医院统计信息科

出　　处：《临床心电学杂志》1998年第3期113-114,共2页Journal of Clinical Electrocardiology

摘　　要：为探讨心肌梗死有无Ｑ波对近期预后的影响，随诊７８例无Ｑ波型心肌梗死（ＮＱＭＩ）和２２４例Ｑ波型心肌梗死（ＱＭＩ）患者，随诊以死亡为终点或随诊至患病后６个月。两组相比：１．院内死亡率分别为２．５６％和１３％（Ｐ＜０．０１），２．Ｋａｐｌａｎ－Ｍｅｉｅｒ曲线６个月生存率分别为９４．９％和８１．５％（时距检验Ｐ＜０．０１），６个月无心脏再发缺血事件发生率分别为８５．５％和６９．１％（时距检验Ｐ＜０．０１），Ｃｏｘ回归模式心脏再发缺血事件发生的相对危险度ＱＭＩ和ＮＱＭＩ比值为２．１２。表明和ＱＭＩ组相比，ＮＱＭＩ组近期（６个月）预后较好。In order to investigate prognosis in patients of acute myocardial infarction with and without Q-wave,78 patients without Q-wave(NQMI) and 224 patients with Q-wave(QMI)were followed up.Death and up to the frist 6 months after acute myocardial infarction was used as an end point.1.group of NQMI had a hospital mortality rate of 2.56% compared with 13% in group of QMI(P<001).2.Six month survival rates calculated according to Kaplan-Meier curve method were 94.9% and 81.5% respectively(Logrank test P<001),rates of recurrent ischemic event-free were 85.5% and 69.1%(Logrank test P<001).Using Cox regression model analysis,the risk ratio of reccurent ischemic events in QMI over NQMI was 2.12.Results suggest that group of NQMI have a good prognosis in the frist six months compared with group of QMI.

关 键 词：心电图 心肌梗塞 Q波型/非Q波型 预后 

分 类 号：R542.220.7[医药卫生—心血管疾病]