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作 者:郑俊晨[1] 李林娟[1] 王营忠[1] 高波[1]
机构地区:[1]延安大学附属医院心内科,陕西延安716000
出 处:《医学综述》2016年第19期3877-3877,共1页Medical Recapitulate
摘 要:1.文章中使用缩略语、略称、代号时,在首次出现时必须加注中文并写出英文全称,如:肝细胞生长因子(hepatocyte growth factor,HGF)。Objective To analyze the risk factors for heart failure in myocardial infarction patients after thrombolysis. Methods Total of 152 myocardial infarction patients after thrombolysis in Affiliated Hospital of Yan'an University from May 2011 to May 2015 were included in the study and divided into a heart failure group(40 cases) and a non-heart failure group (112 cases) depending on whether heart failure occurred after thrembolysis. General information and clinical indicators were recorded and compared, and the risk factors for heart failure in myocardial infarction patients after thrombolysis were analyzed. Results The age, sex, body mass index, door-to-needle time and the proportion of patients with hypertension of the two groups had no significant difference ( P 〉 0.05 ). The proportion of patients with diabetes, and the proportion of preinfarction angina of the heart failure group were significantly higher than the non-heart failure group[42.5% ( 17/40 ) vs 7. 1% ( 8/112 ) ,60.0% ( 24/40 ) vs 41.1% ( 46/112 ), P 〈 0. 05 or P 〈 0. 011. The number of white blood cells, fasting glucose, gamma-glutamyl transferase (GGT) and high sensitivity C-reactive protein (hs-CRP), brain natriuretic peptide and left ventricular end-diastolic dimension of the heart failure group were significantly higher than the non-heart failure group[ ( 10. 2 ± 2.5 )×10^9/L vs (8.7 ± 2. 1 ) ×10^9/L, ( 12. 3 ± 3.6 ) mmol/L vs (6.7 ± 1.2) mmol/L, (60 ± 7 ) U/L vs ( 28 ± 8) U/L, (4. 95 ± 0. 52 ) mg/L vs (2.64 ± 0. 27 ) mg/L, ( 356 ± 58 ) ng/L vs ( 172 ± 45 ) ng/L, (56 ± 9 ) mm vs ( 51 ± 7 ) mrn, P 〈 0. 05 ]. The left ventricular ejection fraction of the heart failure group was significantly lower than the non-heart failure group[ (41±5)% vs (54±7)% ,P 〈0.05]. GGT(OR = 1. 067,95% CI 1.032-1. 103) ,hs-CRP ( OR = 1. 402,95 % CI 1. 078-1. 823 ), asting glucose ( OR = 1. 246,95 % CI 1. 059-1. 466 ) were the risk factors fo
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