急性心肌梗死一周内不良心血管事件的危险因素分析  

Analysis of Risk Factors of Adverse Cardiovascular Events Within One Week of Acute Myocardial Infarction

作　　者：孙彦玲[1] 王心捷 SUN Yan-ling;WANG Xin-jie(Department of Internal Medicine,the Second People's Hospital of Fengrun District,Tangshan 064000,Hebei,China)

机构地区：[1]河北省唐山市丰润区第二人民医院内科,河北唐山064000

出　　处：《医学信息》2021年第9期109-111,共3页Journal of Medical Information

摘　　要：目的探讨影响急性心肌梗死患者一周内主要不良心血管事件的因素。方法选取我院2017年6月~2019年6月收治的急性心肌梗死患者131例,根据其在入院后一周内是否发生主要不良心血管事件,分为事件组(n=67)和非事件组(n=64),比较两组患者一般情况及入院后即时静脉血检测结果。结果入院后一周内发生主要心血管不良事件67例(51.15%),死亡10例(7.63%);两组性别、吸烟史、高血压病史比较,差异无统计学意义(P>0.05),糖尿病史、年龄比较,差异有统计学意义(P<0.05);事件组入院血糖、Hcy高于非事件组,差异有统计学意义(P<0.05),事件组与非事件组LDL-C、HDL-C比较,差异无统计学意义(P>0.05);多因素Logistic回归分析结果显示,年龄、糖尿病史、入院血糖、Hcy为急性心肌梗死患者住院期间MACE的独立危险因素(P<0.05)。结论急性心肌梗死患者既往糖尿病史、血清同型半胱氨酸水平增高与入院一周内主要不良心血管事件相关。Objective To explore the factors affecting the main adverse cardiovascular events in patients with acute myocardial infarction within one week.Methods A total of 131 patients with acute myocardial infarction admitted to our hospital from June 2017 to June 2019 were selected.According to whether they had major adverse cardiovascular events within one week after admission,they were divided into event group(n=67)and non-event group(n=64).The general conditions of the two groups of patients and the immediate venous blood test results after admission were compared.Results 67 cases(51.15%)of major adverse cardiovascular events occurred within one week after admission,and 10 cases(7.63%)died.There was no significant difference in gender,smoking history,and hypertension history between the two groups(P>0.05).Compared with diabetes history and age,the difference was statistically significant(P<0.05);The admission blood glucose and Hcy of the event group were higher than those of the non-event group,the difference was statistically significant(P<0.05).There was no statistically significant difference in LDL-C and HDL-C between the event group and the non-event group(P>0.05);Multivariate Logistic regression analysis showed that age,diabetes history,admission blood glucose and Hcy were independent risk factors for MACE during hospitalization in patients with acute myocardial infarction(P<0.05).Conclusion The history of diabetes and increased serum homocysteine levels in patients with acute myocardial infarction are related to major adverse cardiovascular events within one week of admission.

关 键 词：急性心肌梗死 主要不良心血管事件 糖尿病 同型半胱氨酸 

分 类 号：R473.5[医药卫生—护理学]