广西地区急性心肌梗死患者入门-球囊扩张时间延迟原因分析  

Factors influencing the length of time required for completing whole course of door-to-balloom in patients with acute myocardial infarction in Guangxi area

作　　者：朱瑞凯[1] 陈万[1] 吕立文[1] 曾希[1] 沈印[1] 唐宇涛[1] 张晓波[1] 

机构地区：[1]广西壮族自治区人民医院,南宁530021

出　　处：《山东医药》2017年第22期9-11,共3页Shandong Medical Journal

基　　金：广西重大科技攻关项目(桂科攻14124003-9)

摘　　要：目的分析广西地区急性心肌梗死(AMI)患者入门-球囊扩张时间(D2B)延迟原因。方法 167例广西地区AMI患者,其中D2B>90 min者37例、≤90 min者130例,采用t检验或χ2检验对两者一般资料进行单因素分析,采用logistic回归分析AMI患者D2B延误的影响因素。结果单因素分析结果显示,与D2B≤90 min者相比,D2B>90 min者典型临床症状例数少、非ST段抬高型急性心肌梗死例数多、肌钙蛋白T阳性例数少、典型心电图例数少、心电图-呼叫会诊时间长、会诊-术前谈话时间长(P均<0.05)。logistic回归分析结果显示,AMI类型(OR=0.060,95%CI:0.004~0.891,P<0.05)、心电图-呼叫会诊时间(OR=0.801,95%CI:0.693~0.972,P<0.01)为AMI患者D2B延误的独立影响因素。结论 AMI类型为非ST段抬高型心肌梗死、心电图-呼叫会诊时间长是广西地区AMI患者D2B延迟的原因。Objective To analyze factors influencing the length of time required for completing whole course of doorto-balloom（ D2B） in patients with acute myocardial infarction（ AMI） in Guangxi area. Methods One hundred and sixtyseven AMI patients including 37 cases with D2 B 90 min（ D2 B〉 90 min group） and 130 cases with D2B≤90 min（ D2B≤90 min group） were selected. Their general clinical data were analyzed with univariate analysis. Logistic regression was used to analyze the influencing factors of D2 B delay in AMI patients. Results The univariate analysis showed that compared with D2B≤90 min group,D2 B 〉90 min group had less patients with chest pain,more patients with non-ST segment elevated myocardial infarction,less patients with Troponin T positive,fewer typical ECG,longer ECG-call consultation time,and longer consultation and preoperative talk time（ all P〈0. 05）. Logistic regression showed that AMI types（ OR =0. 060,95% CI： 0. 004-0. 891,P〈0. 05） and ECG-call consultation time（ OR = 0. 801,95% CI： 0. 693-0. 972,P 〈0. 01） were independent risk factors for D2 B delay in AMI patients. Conclusion AMI types with non-ST segment elevated myocardial infarction and the long time for the first electrocardiogram to call consultation delay D2 B significantly in AMI patients of Guangxi area.

关 键 词：胸痛 急性心肌梗死 入门-球囊扩张时间 非ST段抬高型心肌梗死 再灌注治疗 广西地区 

分 类 号：R459.7[医药卫生—急诊医学]