急性冠脉综合征患者介入治疗预后状况及影响因素  

The prognosis and influencing factors of patients with acute coronary syndrome after interventional therapy

作　　者：文青[1] 江小燕[1] WEN Qing;JIANG Xiao-yan(Sichuan Academy of Medical Science&Sichuan Provincial People's Hospital,Chengdu,610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院

出　　处：《实用医院临床杂志》2019年第5期223-226,共4页Practical Journal of Clinical Medicine

摘　　要：目的分析急性冠脉综合征(ACS)患者介入治疗预后状况及影响因素。方法收集2018年1~12月94例在我院进行介入治疗ACS患者资料,依据治疗后预后状况将患者分为预后良好和不良组,对影响患者介入治疗预后因素进行单因素以及多因素分析。结果治疗后2个月预后不良组18例,预后良好组患者76例;两组患者在性别、年龄、吸烟、高血压、糖尿病、高血脂、心源性休克、心功能Killip分级和病变支数等方面差异有统计学意义(P<0.05),而两组间在体重指数、饮酒、心肌梗死、胸痛种类、心肌梗死类型、病变部位比较,差异无统计学意义(P>0.05);多因素COX回归分析结果显示,女性、高龄、高血压史、糖尿病史、心源性休克史、病变支数多是影响患者预后危险因素(P<0.05)。结论ACS患者介入治疗后应重点关注女性、高龄且并发心血管疾病患者,制定对症干预措施避免患者预后情况不佳。Objective To analyze the prognosis and influencing factors of patients with acute coronary syndrome(ACS)after interventional therapy.Methods Clinical data of 94 patients with ACS who underwent interventional therapy in our hospital from January 2018 to December 2018 were collected.According to the prognosis after treatment,the patients were divided into good prognosis group and poor prognosis group.Univariate and multivariate analysis was performed to analyze factors affecting prognosis of patients undergoing interventional therapy.Results After 2 months of treatment,there were 18 cases with poor prognosis and 76 patients with good prognosis.Univariate analysis results showed that there were significant differences in gender,age,smoking,hypertension,diabetes mellitus,hyperlipidemia,cardiogenic shock,cardiac function Killip grading and number of lesions between the two groups(P<0.05).There was no significant difference in body mass index,drinking,myocardial infarction,types of chest pain and myocardial infarction or lesion location between the two groups(P>0.05).Multivariate COX regression analysis showed that female patients,advanced age,history of hypertension,diabetes mellitus and cardiogenic shock and number of lesions were the risk factors for prognosis(P<0.05).Conclusion For ACS patients after interventional therapy,emphasis should be placed on women,advanced age and cardiovascular disease and we should develop symptomatic intervention measures to avoid poor prognosis.

关 键 词：急性冠脉综合征 介入治疗 预后状况 影响因素 

分 类 号：R541.4[医药卫生—心血管疾病]