TyG指数、CAMI-STEMI评分对急性ST段抬高型心肌梗死患者介入治疗效果的评估价值  

Significance of TyG index and CAMI-STEMI score in assessing treatment efficacy of interventional therapy for acute ST segment elevation myocardial infarction

作　　者：张彦军 连志明 杨琪 Zhang Yanjun;Lian Zhiming;Yang Qi(Department of Cardiology I,East Branch of Xinyang Central Hospital,Xinyang 464000,China;Department of CardiologyⅡ,East Branch of Xinyang Central Hospital,Xinyang 464000,China)

机构地区：[1]信阳市中心医院东院区心内一科,信阳464000 [2]信阳市中心医院西院区心内二科,信阳464000

出　　处：《中国实用医刊》2024年第20期42-45,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨三酰甘油-葡萄糖(TyG)指数、中国心肌梗死注册登记研究-ST段抬高型心肌梗死(CAMI-STEMI)评分对急性ST段抬高型心肌梗死(STEMI)患者介入治疗效果的评估价值。方法回顾性抽取2019年1月至2022年1月于信阳市中心医院行介入治疗的STEMI患者92例,依据介入术后不良心血管事件(MACE)发生情况将其分为预后不良组(38例)与预后良好组(54例)。比较两组临床资料、TyG指数及CAMI-STEMI评分,分析STEMI患者介入治疗后发生MACE的影响因素,评估TyG指数、CAMI-STEMI评分对STEMI患者介入治疗后预后不良的预测价值。结果预后不良组年龄、心率、空腹血糖(FBG)、TyG指数、CAMI-STEMI评分高于预后良好组(P<0.05)。多因素分析结果显示,年龄、心率、FBG、TyG指数、CAMI-STEMI评分是预后不良的独立影响因素(P<0.05)。TyG指数、CAMI-STEMI评分及二者联合预测预后不良,其曲线下面积分别为0.78、0.81、0.86,二者联合预测具有较高的灵敏度(84.2%)和特异度(87.0%)。结论TyG指数联合CAMI-STEMI评分对STEMI患者介入治疗后MACE的发生具有较好的评估价值。Objective To investigate the value of triglyceride-glucose(TyG)index and China Acute Myocardial Infarction Registry-ST segment elevation myocardial infarction(CAMI-STEMI)score in assessing the outcome of interventional therapy for STEMI.Methods A total of 92 patients with STEMI who underwent interventional therapy in Xinyang Central Hospital from January 2019 to January 2022 were retrospectively selected,and they were divided into a poor prognosis group(38 cases)and a good prognosis group(54 cases)according to the occurrence of major adverse cardiovascular event(MACE)after intervention.The clinical data,TyG index and CAMI-STEMI score of the two groups were compared;and the influencing factors of MACE after interventional treatment in STEMI patients were analyzed.The predictive value of TyG index and CAMI-STEMI score for poor prognosis of STEMI patients after interventional treatment was evaluated.Results The age,heart rate,fasting blood glucose(FBG),TyG index and CAMI-STEMI score in the poor prognosis group were higher than those in the good prognosis group(P<0.05).The results of multivariate analysis showed that age,heart rate,FBG,TyG index and CAMI-STEMI score were independent influencing factors for poor prognosis(P<0.05).The area under the curve of TyG index,CAMI-STEMI score,and the combination of them in prediction of poor prognosis were 0.78,0.81,and 0.86,respectively,and the combination of them had high sensitivity(84.2%)and specificity(87.0%).Conclusions TyG index combined with CAMI-STEMI score has a good value in evaluating the occurrence of MACE in STEMI patients after interventional therapy.

关 键 词：心肌梗死 三酰甘油-葡萄糖指数 中国心肌梗死注册登记研究-ST段抬高型心肌梗死 经皮冠状动脉介入 不良心血管事件 

分 类 号：R542.22[医药卫生—心血管疾病]