急性前壁ST段抬高心肌梗死患者行急诊PCI后心力衰竭的危险因素研究  

Research of risk factors of cardiac failure after emergency treatment of PCI for patients with STEMI

作　　者：陈振润 谢晓明[2] 林海兰 

机构地区：[1]广东省湛江市湖光人民医院,广东湛江524088 [2]广东医学院附属医院,广东湛江524000

出　　处：《中国医学工程》2015年第7期20-21,共2页China Medical Engineering

摘　　要：目的探讨ST段抬高型心肌梗死患者进行急诊PCI术后心力衰竭的相关危险因素,以期为临床预防和治疗提供参考的依据。方法选取2011年1月-2014年1月进行急诊PCI(本院与湛江市附属医院合作进行)的急性ST段抬高型心肌梗死患者220例作为研究对象,根据术后是否发生心力衰竭分为观察组120例和对照组100例,针对两组患者的既往病史、吸烟史等一般资料进行统计,同时对手术情况及住院常规检查指标进行分析,探查急诊PCI术后发生心力衰竭的危险因素。结果心力衰竭组住院时间、手术时间较对照组明显延长,年龄明显增大,比剂量明显增加,死亡率明显提高,具有糖尿病病史比例明显升高,差异有统计学意义(P<0.05);另心力衰竭组CR、UA、LDL-C和WBC均较对照组明显提高,差异有统计学意义(P<0.05)。进一步进行多因素logistic回归分析显示,年龄、WBA和UA水平均为ST段抬高型心肌梗死急诊PCI术后心力衰竭独立的危险因素(P<0.05)。结论年龄、WBA和UA水平均为ST段抬高型心肌梗死急诊PCI术后心力衰竭独立的危险因素,临床应当密切关注,加以控制预防。【Objective】To study the relevant risk factors of cardiac failure after emergency treatment of PCI for patients with STEMI and provide the scientific basis of clinical control. 【Method】220 patients with STEMI treated from January 2011 to January 2014 in our hospital were selected and divided into observation group（120 cases） and control group（100 cases） according to incidence of cardiac failure. The general clinical data like PMH and smoking history was collected; the surgery and conventional examination were analyzed; the risk factors of cardiac failure after emergency treatment of PCI were observed. 【Results】Compared with control group, the length of stay and time of operation of observation group were significantly extended; the patients＇ age was getting older; the death rate and the rate with history of diabetes were increased（P〈0.05）; CR, UA, LDL-C and WBC of observation group were significantly higher than those of control group（P〈0.05）; based on multiple-factor logistic regression analysis, the risk factors of cardiac failure after emergency treatment of PCI for patients with STEMI were age, WBA and UA（P〈0.05）. 【Conclusion】Age, WBA and UA are the risk factors of cardiac failure after emergency treatment of PCI for patients with STEMI. They shall be concerned for clinical control.

关 键 词：ST段抬高心肌梗死 急诊经皮冠状动脉介入术 心力衰竭 危险因素 

分 类 号：R542.22[医药卫生—心血管疾病]