巴中市80例急性ST段抬高型心肌梗死患者发生心力衰竭的危险因素分析  

Risk factors for 80 cases of acute ST-elevation myocardial infarction with heart failure in Bazhong city

作　　者：蒋坤[1] 李林[1] 赖祯平 刘芙蓉[1] 李志明 JIANG Kun;LI Lin;LAI Zhenping;LIU Furong;LI Zhiming(Department of Cardiovascular Medicine,Bazhong Central Hospital,Bazhong Sichuan 636000,China)

机构地区：[1]巴中市中心医院心血管内科,四川巴中636000 [2]南部县人民医院心内科,四川南充637300

出　　处：《中国急救复苏与灾害医学杂志》2024年第7期855-857,866,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：四川省基层卫生事业发展研究中心2021年立项项目(编号:SWFZ21-C-96)。

摘　　要：目的 分析巴中市急性ST段抬高型心肌梗死(STEMI)患者发生心力衰竭(HF)的现状及其影响因素。方法 选取2021年1月1日—2023年4月30日巴中市中心医院80例STEMI患者,根据有无发生HF分组,探寻可能导致STEMI患者HF的危险因素。结果 入组患者中28例发生HF,发生率35.00%。有HF组血清降钙素原(PCT)、总胆红素(TBiL)、超敏C反应蛋白(hs-CRP)、血小板平均体积(MPV)、同型半胱氨酸(Hcy)表达均较无HF组高(t=13.176、10.485、32.544、10.113、4.254,P<0.05);组间其他资料比较无统计学差异(P>0.05);Logistic回归分析显示血清PCT、TBiL、hs-CRP、MPV、Hcy高表达是导致STEMI患者发生HF的危险因素(OR>1,P<0.05)。结论 STEMI患者发生HF与血清PCT、TBiL、hs-CRP、MPV、Hcy指标高表达相关。Objective To analysis the current status of heart failure(HF) and its influencing factors in patients with acute ST-segment elevation myocardial infarction(STEMI) in Bazhong city.Methods 80 cases of patients with STEMI in the Bazhong city from January 1,2021 to April 30,2023 were selected and grouped according to the presence or absence of HF to explore the risk factors that may lead to the development of HF in patients with STEMI.Results HF occurred in 28 cases,with an incidence rate of 35.00%.The expression of serum procalcitonin(PCT),total bilirubin(TBiL),high sensitive C-reactive protein(hs-CRP),mean platelet volume(MPV),homocysteine(Hcy) were higher in the HF group compared with the no HF group(P < 0.05).There was no statistically significant difference in other data comparison between groups(P > 0.05);high expression of serum PCT,TBiL,hs-CRP.MPV,Hcy were shown to be risk factors for the development of HF in STEMI patients by Logistic regression(OR > 1,P < 0.05).Conclusion The occurrence of HF in STEMI patients was associated with the expression of serum PCT,TBiL,hs-CRP,MPV,Hcy.

关 键 词：急性ST段抬高型心肌梗死 心力衰竭 超敏C反应蛋白 血小板平均体积 影响因素 

分 类 号：R542.22[医药卫生—心血管疾病] R541.6[医药卫生—内科学]