急性心肌梗死范围影响因素分析  

Influential factors of myocardial infarct size in patients with acute myocardial infarction

作　　者：盛建龙[1] 赵利华[2] 

机构地区：[1]安徽医科大学第二附属医院心血管内科,安徽合肥230601 [2]吉林大学第一医院心血管内科,吉林长春130021

出　　处：《安徽医药》2011年第8期986-987,共2页Anhui Medical and Pharmaceutical Journal

基　　金：吉林省科技厅科技计划发展项目(No200505223)

摘　　要：目的探讨急性心肌梗死(AMI)梗死范围的影响因素。方法前瞻性地观察92例行急诊PCI术的AMI患者临床资料,应用统计学方法分析AMI梗死范围的影响因素。结果 AMI梗死范围积分(1.71±0.58),应用Pearson相关分析发现AMI梗死范围积分与入院血糖及脂蛋白(α)水平存在相关性(r=0.28,P=0.007;r=0.23,P=0.025),校正年龄、性别、糖尿病、AMI发病到再灌注时间等影响因素后,其仍有相关性(r=0.24,P=0.021;r=0.27,P=0.018)。结论血糖和脂蛋白(α)与AMI梗死范围有关。Aim To evaluate the influential factor of myocardia infarct size in patients with acute myocardial infarction（AMI）.Methods Clinical data were studied of 92 patients with AMI undergoing primary PCI prospective,and the influential factors of myocardia infarct size were aralyzed by statistics.Results Pearson correlation analysis indicated that the integral calculus of myocardia infarct size had significant correlation with the admission blood glucose and lipoprotein-α（LP-α）（r=0.28,P=0.007;r=0.23,P=0.025）.Adjusting with these influencing facators,such as age,sex,diabetes,and the time of myocardial infarction reperfusion,these correlations were still significant（r=0.24,P=0.021;r=0.27,P=0.018）.Conclusion The myocardia infarct size has significant correlation with the admission blood glucose and LP-α.

关 键 词：急性心肌梗死 经皮冠状动脉介入治疗 血糖 脂蛋白(Α) 

分 类 号：R542.22[医药卫生—心血管疾病]