影响急性ST段抬高型心肌梗死患者梗死相关动脉开通时间相关因素的临床研究  

Clinical study on the related factors influencing the opening time of IRA in patients with acute ST segment elevation myocardial infarction

作　　者：卢旭升[1] 许贤彬[1] 李春来[1] 吴平彬[1] 林锐波[1] 

机构地区：[1]广东省潮州市中心医院心内科,521000

出　　处：《山西医药杂志》2016年第21期2471-2473,共3页Shanxi Medical Journal

基　　金：广东省潮州市卫生局科研项目(201404号)

摘　　要：目的探讨影响急性ST段抬高型心肌梗死(STEMI)患者梗死相关动脉(IRA)开通时间的影响因素。方法选取2014年3月至2016年3月我院经行冠状动脉介入治疗(PCI)的STEMI患者100例作为研究对象,将IRA开通时间分为达标组(39例)和未达标组(61例),分析影响IRA开通时间的因素。结果达标组夜间发病率、转运PCI率低于未达标组,初中以上学历、归结于心脏病、首诊10min内获得心电图的概率高于对照组,症状发作至门诊就诊时间、沟通至签字时间、门诊至球囊扩张时间短于未达标组,差异均有统计学意义(P<0.05);Logistic回归分析显示夜间发病、归结于心脏病、低收入家庭、首诊10 min内获得心电图、沟通至签字时间、门诊至球囊扩张时间是影响急性STEMI患者IRA开通时间的独立危险因素。结论夜间发病、归结于心脏病、低收入家庭、首诊10min内获得心电图、沟通至签字时间、门诊至球囊扩张时间是影响急性STEMI患者IRA开通时间的重要危险因素。Objective To investigate the factors influencing the opening time of infarct related artery （IRA） in patients with acute ST segment elevation myocardial infarction （STEMI）. Methods One hundred patients with STEMI who underwent percutaneous coronary intervention （PCI） in the hospital between March 2014 and March 2016 were selected as the study subjects. The subjects were divided into the standard group （39 cases） and the non standard group （61 cases）. The imaging factors influencing the opening time of IRA were analyzed. Results The incidence at night and rate of transferring PCI in the standard group were lower than those in the non standard group. The probabilities of education level higher than junior high school, attributed in heart disease and obtaining an electrocardiogram within 10 min of the initial diagnosis were higher than those in the control group. The time from onset to outpatient visits, time from communication to signing, time from outpatient to balloon dilatation were shorter than those of the non standard group （ P d0.05）. Logistic regression analysis showed that onset at night, attributed in heart disease, low income family, obtaining an electrocardiogram within 10 min of the initial diagnosis, time from communicating to signing and time from outpatient to balloon dilatation were the independent risk factors influencing the opening time of IRA in patients with acute STEMI. Conclusion Onset at night, attributed in heart disease, low income family, obtaining an electrocardiogram within 10 min of the initial diagnosis, time from communicating to signing and time from outpatient to balloon dilatation are the important risk factors influencing the opening time of IRA in patients with acute STEMI.

关 键 词：心肌梗死 影响因素分析 梗死相关动脉 开通时间 

分 类 号：R542.22[医药卫生—心血管疾病]