急性心肌梗死患者PCI后穿刺部位血肿发生的影响因素分析  

Analysis of influencing factors on occurrence of hematoma at puncture site after PCI in patients with acute myocardial infarction

作　　者：王克奇 王珍珍 Wang Keqi;Wang Zhenzhen(Cardiovascular Medicine Department,Zhengzhou Third People's Hospital,Zhengzhou,Henan 450000,China)

机构地区：[1]郑州市第三人民医院心血管内科,河南郑州450000

出　　处：《齐齐哈尔医学院学报》2025年第6期597-600,F0003,共5页Journal of Qiqihar Medical University

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20220514)。

摘　　要：目的分析急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)后穿刺部位血肿发生的影响因素。方法选择2021年8月—2023年8月本院收治的行PCI治疗的108例AMI患者作为研究对象,于PCI后24 h内通过超声观察穿刺部位血肿发生情况,根据是否发生穿刺部位血肿将患者分为发生组和未发生组,采用单因素分析和多因素Logistic回归分析AMI患者PCI后穿刺部位血肿发生的影响因素。结果108例AMI患者发生穿刺部位血肿28例,发生率为25.93%(28/108)。发生组年龄≥60岁、既往高血压史、穿刺部位为股动脉、止血按压方法为人工按压、术后6 h内使用抗凝药物占比高于未发生组,差异有统计学意义(P<0.05)。经Logistic回归分析,结果显示,年龄≥60岁、既往高血压史、穿刺部位为股动脉、止血按压方法为人工按压、术后6 h内使用抗凝药物是AMI患者PCI后发生穿刺部位血肿的危险因素(OR>1,P<0.05)。结论年龄≥60岁、既往高血压史、穿刺部位为股动脉、止血按压方法为人工按压、术后6 h内使用抗凝药物均为AMI患者PCI后发生穿刺部位血肿的影响因素。Objective To analyze the influencing factors of hematoma at the puncture site after percutaneous coronary intervention(PCI)in patients with acute myocardial infarction(AMI).Methods One hundred and eight AMI patients who underwent PCI treatment in our hospital from August 2021 to August 2023 were selected for the study.Within 24 hours after PCI,the occurrence of hematoma at the puncture site was observed by ultrasound,and patients were divided into an occurrence group and a non occurrence group based on whether hematoma had occurred at the puncture site.Single factor analysis and multivariate Logistic regression were used to analyze the influencing factors of hematoma occurrence at the puncture site after PCI in AMI patients.Results Twenty-eight out of 108 AMI patients developed hematoma at the puncture site,with an incidence rate of 25.93%(28/108).The occurrence group had a higher proportion of patients aged≥60 years,a history of hypertension,puncture site in the femoral artery,manual hemostatic compression method,and the use of anticoagulants within 6 hours after surgery compared to the non-occurrence group,with statistically significant differences(P<0.05).Through logistic regression analysis,the results showed that age≥60 years,a history of hypertension,the puncture site being the femoral artery,the hemostatic compression method being manual compression,and the use of anticoagulant drugs within 6 hours after surgery were risk factors for the occurrence of puncture site hematoma in AMI patients after PCI(OR>1,P<0.05).Conclusions Age≥60 years old,history of hypertension,puncture site in the femoral artery,manual hemostatic compression method,and use of anticoagulants within 6 hours after surgery are all influencing factors for the occurrence of puncture site hematoma in AMI patients after PCI.

关 键 词：急性心肌梗死 经皮冠状动脉介入治疗 穿刺部位血肿 影响因素 

分 类 号：R54[医药卫生—心血管疾病]