中老年急性心肌梗死患者急诊PCI术后再发现况及其危险因素调查  

Rediscovery status and investigation of risk factors of middle-aged and elderly patients with acute myocardial infarction after PCI in emergency department

作　　者：黄彩霞[1] HUANG Cai-xia

机构地区：[1]肇庆市第一人民医院急诊科,肇庆市526060

出　　处：《护理实践与研究》2020年第20期24-26,共3页Nursing Practice and Research

摘　　要：目的探讨中老年急性心肌梗死急诊患者PCI术后的再发现况及其危险因素。方法选择我院2017年1月至2019年12月收治的中老年急性心肌梗死急诊PCI术患者280例,经回顾性分析法收集患者临床资料,统计急诊PCI术后再发例数,采用多因素logistic回归分析确定急诊PCI术患者术后再发的危险因素。结果急诊PCI术后再发患者共30例,再发率为10.71%;多因素logistic回归分析显示,中老年急性心肌梗死患者急诊PCI术后再发的危险因素有年龄≥60岁、吸烟史、合并糖尿病、合并高血压、Killp分级Ⅱ~Ⅳ级、病变支数≥2、梗死后心绞痛、低职级护士(护师及以下)。结论中老年急性心肌梗死患者急诊PCI术后存在再发风险,其危险因素包括年龄≥60岁、有吸烟史、合并糖尿病、合并高血压、Killp分级Ⅱ~Ⅳ级、病变支数≥2、梗死后心绞痛、低职级护士(护师及以下),需强化风险因素识别及防控干预。Objective To explore the rediscovery situation and its risk factors of middle-aged and elderly patients with acute myocardial infarction after PCI in emergency department.Methods To select 280 cases of middle-aged and elderly patients with acute myocardial infarction who underwent emergency PCI from our hospital from January 2017 to December 2019 was set as the study subject,and clinical data of the patients were collected through retrospective analysis,and the number of recurrences after emergency PCI was counted.Multivariate logistic regression analysis was used to determine the risk factors for recurrence in patients undergoing emergency PCI.Results A total of 30 patients recurred after emergency PCI,with a recurrence rate of 10.71%.Multivariate logistic regression analysis showed that the risk factors for recurrence after emergency PCI in middle-aged and elderly patients with acute myocardial infarction were the age≥60 years,history of smoking,with diabetes,with hypertension,Killp gradeⅡtoⅣ,number of lesions≥2,post-infarction angina,and low-rank nurses(nurse practitioner and below).Conclusion Middle-aged and elderly patients with acute myocardial infarction were at risk of recurrence after emergency PCI.The risk factors included the age≥60 years,history of smoking,with diabetes,with hypertension,Killp gradeⅡtoⅣ,number of lesions≥2,post-infarction angina,and low-rank nurses(nurse practitioner and below).It was necessary to strengthen the identification of risk factors and prevention and control intervention.

关 键 词：急性心肌梗死 急诊PCI术 术后再发 危险因素 

分 类 号：R472.2[医药卫生—急诊医学]