急性心肌梗死患者基础血压与介入术后主要心血管不良事件发生的相关性研究  

Correlation of major adverse cardiovascular events after interventional surgery with basic blood pressure in patients with acute myocardial infarction

作　　者：韩会香 Han Huixiang(Department of Cardiology,Chinese Medicine Hospital of Puyang,Puyang 457000,China)

机构地区：[1]濮阳市中医医院心内科,濮阳457000

出　　处：《中国实用医刊》2022年第16期14-17,共4页Chinese Journal of Practical Medicine

摘　　要：目的研究急性心肌梗死患者基础血压与介入术后主要心血管不良事件发生的相关性。方法回顾性抽取2018年2月至2021年2月濮阳市中医医院心内科收治的急性心肌梗死患者100例,依据基础血压分为收缩压≤107 mmHg(1 mmHg=0.133 kPa)组、108~113 mmHg组、114~124 mmHg组、125~147 mmHg组、≥148 mmHg组五组及舒张压≤62 mmHg组、63~69 mmHg组、70~76 mmHg组、77~83 mmHg组、≥84 mmHg组五组,每组20例。统计分析不同收缩压、舒张压患者介入术后主要心血管不良事件发生情况,采用Cox回归分析其影响因素。结果收缩压108~113 mmHg组、114~124 mmHg组、125~147 mmHg组患者介入术后主要心血管不良事件发生率(20.00%,4/20;10.00%,2/20;20.00%,4/20)低于≤107 mmHg组、≥148 mmHg组(40.00%,8/20;40.00%,8/20),P<0.05。Cox回归分析结果显示,介入术后主要心血管不良事件发生的独立危险因素为收缩压≤107 mmHg、≥148 mmHg(OR=1.346、1.531,P均<0.05)。舒张压63~69 mmHg组、70~76 mmHg组、77~83 mmHg组患者的主要心血管不良事件发生率(20.00%,4/20;10.00%,2/20;20.00%,4/20)低于≤62 mmHg组、≥84 mmHg组(45.00%,9/20;35.00%,7/20),P<0.05。Cox回归分析结果显示,主要心血管不良事件发生的独立危险因素为舒张压≤62 mmHg、≥84 mmHg(OR=1.715、1.924,P均<0.05)。结论急性心肌梗死患者基础血压与介入术后主要心血管不良事件发生风险关系密切,基础血压过低或过高均极易引发主要心血管不良事件。Objective To study the correlation of basic blood pressure with major adverse cardiovascular events after interventional surgery in patients with acute myocardial infarction.Methods One hundred patients with acute myocardial infarction treated in the Department of Cardiology of Chinese Medicine Hospital of Puyang from February 2018 to February 2021 were retrospectively selected.According to the systolic blood pressure in basic blood pressure,they were divided into five groups,≤107 mmHg(1 mmHg=0.133 kPa)group,108-113 mmHg group,114-124 mmHg group,125-147 mmHg group,≥148 mmHg group,with 20 cases in each group;and according to the diastolic blood pressure in basic blood pressure,they were divided into five groups,≤62 mmHg group,63-69 mmHg group,70-76 mmHg group,77-83 mmHg group and≥84 mmHg group,with 20 cases in each group.The occurrence of major adverse cardiovascular events after interventional surgery in patients with different systolic and diastolic blood pressures was statistically analyzed,and Cox regression was used to analyze the influencing factors.Results The incidence of major cardiovascular adverse events after interventional surgery in the systolic blood pressure 108-113 mmHg group,114-124 mmHg group and 125-147 mmHg group(20.00%,4/20;10.00%,2/20;20.00%,4/20)were lower than that in≤107 mmHg group and≥148 mmHg group(40.00%,8/20;40.00%,8/20),P<0.05.Results of Cox regression analysis showed that the independent risk factors for major cardiovascular adverse events after interventional surgery were systolic blood pressure≤107 mmHg,≥148 mmHg(OR=1.346,1.531;all P<0.05).The incidence of major adverse cardiovascular events after interventional surgery in diastolic blood pressure 63-69 mmHg group,70-76 mmHg group and 77-83 mmHg group(20.00%,4/20;10.00%,2/20;20.00%,4/20)were lower than that in diastolic blood pressure≤62 mmHg group and≥84 mmHg group(45.00%,9/20;35.00%,7/20),P<0.05.Results of Cox regression analysis showed that the independent risk factors for major cardiovascular adverse events

关 键 词：心肌梗死 介入术 主要心血管不良事件 发生风险 基础血压 

分 类 号：R542.22[医药卫生—心血管疾病]