急性心肌梗塞患者便秘现状及其危险因素  

Incidence and risk factors for constipation in patients with acute myocardial infarction

作　　者：杨静[1] 袁为群[2] 卢翠琼[3] 陈瑾[1] 

机构地区：[1]贵州省人民医院心内科,贵州省贵阳市550002 [2]贵州省人民医院护理部,贵州省贵阳市550002 [3]贵州省人民医院内分泌科,贵州省贵阳市550002

出　　处：《世界华人消化杂志》2015年第27期4442-4446,共5页World Chinese Journal of Digestology

基　　金：贵州省科技联合基金资助项目;No.黔科合LH字[2014]7030号~~

摘　　要：目的:了解急性心肌梗塞(acute myocardial infarction,AMI)患者便秘的发生现状及危险因素.方法:回顾性分析334例AMI出院患者住院期间的排便情况,并对其相关因素进行危险度分析.结果:AMI患者便秘的发生率为32.6%,其中未使用缓泻剂组便秘发生率为61.5%,乳果糖组便秘发生率为21.9%,大黄苏打组为24.8%.住院期间给予缓泻剂是预防A M I患者住院期间发生便秘的保护性因素(O R=0.544,P<0.05),合并糖尿病(O R=1.813,P<0.05)、缓泻剂使用时机不当(OR=0.589,P<0.05)是A M I患者便秘发生的危险因素.结论:AMI患者便秘发生率高、影响因素复杂,应制定规范的措施预防AMI患者便秘的发生.AIM：To investigate the incidence and risk factors for constipation in patients with acute myocardial infarction（AMI）.METHODS：The study had a retrospective design,and 334 AMI patients were included.The incidence and risk factors for constipation were analyzed in these patients.RESULTS：The incidence of constipation was32.6%in the overall AMI patient population,61.5%in those who did not use laxatives,21.9% in those who received milk fructose,and24.8%in those who received rhubarb soda.The use of laxatives was a protective factor for constipation during the hospitalization period（OR=0.544,P〈0.05）,while combined diabetes（OR=1.813,P〈0.05） and the improper timing of laxative use were risk factors（OR=0.589,P〈0.05）.CONCLUSION：The incidence of constipation in AMI patients is high,and there are many influencing factors.Preventive measures should be taken to reduce the occurrence of constipation in hospitalized AMI patients.

关 键 词：急性心肌梗塞 便秘 发生率 危险因素 

分 类 号：R542.22[医药卫生—心血管疾病]