AMI患者PCI术预后及评价的研究进展  

Research Progress of Prognosis and Evaluation of PCI in Patients with AMI

作　　者：邹婷婷 张频 李利 吴磊[1] ZOU Ting-ting;ZHANG Pin;LI Li;WU Lei(Jiangxi Province Key Laboratory of Preventive Medicine,Department of Epidemiology,School of Public Health,Nanchang University,Nanchang 330006,China)

机构地区：[1]江西省预防医学重点实验室,南昌大学公共卫生学院流行病学教研室,南昌330006

出　　处：《南昌大学学报（医学版）》2021年第1期83-87,共5页Journal of Nanchang University：Medical Sciences

基　　金：国家自然科学基金(81960611)。

摘　　要：急性心肌梗死(AMI)起病急、病情进程快、病死率高,是临床常见的急危重症。而经皮冠状动脉介入治疗(PCI)因其技术成熟,已经成为治疗AMI的主要手段并广泛应用。虽然PCI可显著降低AMI病死率,但PCI术后患者发生主要不良心血管事件(MACE)的比率仍然很高,而严重影响患者的预后效果。如何有效预测和防止MACE是改善AMI患者预后的关键。文章通过对目前AMI患者行PCI术的预后现状进行综述,从AMI患者的PCI术后预后、影响AMI患者的PCI术后预后的因素及预后评价模型等角度,综合探讨AMI患者的PCI手术预后情况,以期达到有效帮助医护人员对患者提早进行干预指导、降低MACE的发生、提高患者的生存质量和生存率、丰富AMI防治理论与方法的目的。Acute myocardial infarction(AMI),a common acute and critical illness,is characterized by acute onset,rapid progression and high mortality.Percutaneous coronary intervention(PCI)is a mature technology that has been widely used in the treatment of AMI.Although PCI can significantly reduce the mortality of AMI,the incidence of major adverse cardiovascular events(MACE)is still very high in patients after PCI,seriously affecting the prognosis of AMI patients.How to effectively predict and prevent MACE is the key to improving the prognosis of patients with AMI.This article reviews the current status of prognosis of AMI patients undergoing PCI.In order to effectively help medical staff to perform early intervention guidance,reduce the occurrence of MACE,improve the quality of life and survival rate and enrich the theory and methods of AMI prevention and treatment,the prognosis of post-PCI patients with AMI is comprehensively evaluated from the perspectives of PCI prognosis,factors affecting PCI prognosis and prognostic evaluation models.

关 键 词：急性心肌梗死 冠状动脉介入术 预后 

分 类 号：R541.4[医药卫生—心血管疾病]