急性心肌梗死患者急诊介入术后发生再灌注心律失常的危险因素分析  

Analysis on the Risk Factors for the Occurrence of Reperfusion Arrhythmia After Emergency Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction

作　　者：臧佳佳 陈敬华 ZANG Jiajia;CHEN Jinghua(Emergency Department,Luohe Second People's Hospital,Luohe 462000,China;Oncology Department,Luohe Second People's Hospital,Luohe 462000,China)

机构地区：[1]漯河市第二人民医院急诊科,河南漯河462000 [2]漯河市第二人民医院肿瘤科,河南漯河462000

出　　处：《临床医学工程》2024年第6期763-764,共2页Clinical Medicine & Engineering

摘　　要：目的分析急性心肌梗死(AMI)患者急诊介入术后发生再灌注心律失常的危险因素。方法统计108例AMI患者急诊介入术后再灌注心律失常发生情况,探讨术后发生再灌注心律失常的危险因素。结果108例AMI患者急诊介入术后再灌注心律失常发生率为43.52%。单因素和Logistics回归分析显示,Killip分级Ⅲ级、下壁梗死、病变血管血流TIMI分级0级、发病6h内进行介入术治疗是急诊介入术后发生再灌注心律失常的危险因素(P<0.05)。结论AMI患者急诊介入术后发生再灌注心律失常的风险较高,其危险因素包括Killip分级Ⅲ级、下壁梗死、病变血管血流TIMI分级0级、发病6 h内进行介入术治疗。Objective To analyze the risk factors for the occurrence of reperfusion arrhythmia after emergency percutaneous coronary intervention(PCI)in patients with acute myocardial infarction(AMI).Methods The occurrence of reperfusion arrhythmia after emergency PCI in 108 AMI patients were counted,and the risk factors for postoperative reperfusion arrhythmia were discussed.Results The incidence of reperfusion arrhythmia after emergency PCI in 108 AMI patients was 43.52%.Univariate analysis and Logistic regression analysis showed that Killip gradeⅢ,inferior wall infarction,TIMI grading of blood flow in diseased blood vessels at level 0,and intervention treatment within 6 hours of onset were risk factors for the occurrence of postoperative reperfusion arrhythmia after emergency PCI(P<0.05).Conclusions The risk of reperfusion arrhythmia in AMI patients after emergency PCI is high,and the risk factors include Killip gradeⅢ,inferior wall infarction,TIMI grading of blood flow in diseased blood vessels at level 0,and intervention treatment within 6 hours of onset.

关 键 词：急性心肌梗死 急诊介入术 再灌注心律失常 危险因素 

分 类 号：R543.31[医药卫生—心血管疾病]