高血压对急性ST段抬高型心肌梗死经皮冠状动脉介入近期预后的影响  

Effect of Hypertension on Short-term Prognosis of Patients with ST-Elevation Myocardial Infarction by Percutaneous Coronary Artery Intervention

作　　者：李凡[1] 马燚[2] 王建辉[2] 黄通瑞[1] 

机构地区：[1]解放军白求恩国际和平医院干部病房,石家庄050082 [2]河北医科大学附属唐山临床学院心内科,河北唐山063000

出　　处：《解放军医药杂志》2017年第11期47-49,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的探讨高血压对急性ST段抬高型心肌梗死(STEMI)行急诊经皮冠状动脉介入治疗(PCI)患者近期预后的影响。方法选取解放军白求恩国际和平医院2011年1月—2015年2月发病<12 h且行急诊PCI治疗的STEMI 805例,依据既往史分为对照组437例和高血压组368例,对两组一般资料进行单因素分析,对预后影响因素进行多因素回归分析。结果年龄、性别、高血压、糖尿病为STEMI急诊PCI后近期预后的独立危险因素。结论既往有高血压病的STEMI患者行PCI后近期主要心脏不良事件发生率增高,临床工作中应给予相应预防措施,以降低发生率。Objective To investigate effect of hypertension on shortterm prognosis of patients with STelevationmyocardial infarction （ STEMI）by percutaneous coronary artery intervention （ PCI）in emergency condition. Methods Atotal of 805 patients with STEMI admitted during January 2011 and February 2015,who had been given PCI therapy within 12 h,were divided into control group （ n = 437）and hypertension group （ n = 368）according to past history. Univariate analysis was performed for analyzing general data,and logisitic multiple factor regression analysis was performed foranalyzing influencing factors of prognosis in two groups. Results Age,gender,hypertension and diabetes mellitus werethe independent risk factors affecting shortterm prognosis of STEMI patients by PCI therapy. Conclusion In hypertension group,incidence rate of bad cardiac events can be found increase,and therefore clinicians should give correspondingpreventative measures to decrease the incidence rate in STEMI patients by PCI therapy.

关 键 词：心肌梗死 经皮冠状动脉介入:预后 高血压 

分 类 号：R542.22[医药卫生—心血管疾病]