急性ST段抬高心肌梗死患者经皮冠状动脉造影及支架植入术并发症的独立影响因素分析  

Independent influencing factors for complications during percutaneous coronary angiography and stenting in patients with acute ST elevation myocardial infarction

作　　者：陈磊[1] 刘新灿[1] 李明[1] 孙天福[1] Chen Lei;Liu Xincan;Li Ming;Sun Tianfu(Department of Cardiology,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院心内科,郑州450000

出　　处：《中国实用医刊》2022年第15期6-9,共4页Chinese Journal of Practical Medicine

基　　金：河南省中医药科学研究专项课题(2019JDZX2052)。

摘　　要：目的探讨急性ST段抬高心肌梗死(STEMI)患者经皮冠状动脉造影及支架植入术中并发症发生的独立影响因素。方法回顾性分析2020年1月至2021年9月河南中医药大学第一附属医院收治的92例STEMI患者的临床资料,患者均进行冠状动脉造影及支架植入术治疗,同时记录术中并发症发生情况,根据是否出现术中并发症分为发生组(15例)和未发生组(77例)。比较两组患者的临床资料,经二元Logistic回归分析STEMI患者术中出现并发症的独立危险因素。结果发生组糖尿病病史、植入支架数≥2个、syntax评分≥33分患者占比(11/15、12/15、9/15)均高于未发生组(25/77、36/77、16/77),P均<0.05。二元Logistic回归分析结果显示,糖尿病病史、植入支架数≥2个、syntax评分≥33分是导致患者术中发生并发症的独立影响因素(OR=4.228、7.265、15.817,P均<0.05)。结论STEMI患者及时行冠状动脉造影及支架植入术治疗,能够挽救濒死心肌,疏通血管。对有糖尿病病史、植入支架数≥2个、syntax评分≥33分的STEMI患者应积极预防术中并发症。Objective To investigate the independent influencing factors for complications during percutaneous coronary angiography and stent implantation in patients with acute ST elevation myocardial infarction(STEMI).Methods The clinical data from 92 patients with STEMI admitted to the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2020 to September 2021 were retrospectively analyzed.Coronary angiography and stent implantation were performed on all patients,and intraoperative complications were recorded at the same time.According to the occurrence of intraoperative complications,the patients were divided into the occurrence group(15 cases)and the non occurrence group(77 cases).The clinical data of the two group were compared,and the independent risk factors for intraoperative complications in STEMI patients were analyzed by binary Logistic regression analysis.Results The proportions of patients with history of diabetes,number of implanted stents≥2,and syntax score≥33 in the occurrence group(11/15,12/15,9/15)were higher than those in the non occurrence group(25/77,36/77,16/77),all P<0.05.The results of binary Logistic regression analysis showed that the history of diabetes,the number of implanted stents≥2,and the syntax score≥33 were the independent factors for intraoperative complications(OR=4.228,7.265,15.817;all P<0.05).Conclusions Timely coronary angiography and stent implantation in STEMI patients can save dying myocardium and dredge blood vessels.Active prevention should be performed on patients with history of diabetes,the number of implanted stents≥2,and the syntax score≥33 to prevent complication.

关 键 词：ST段抬高心肌梗死 独立影响因素 冠状动脉造影术 支架植入术 

分 类 号：R542.22[医药卫生—心血管疾病]