急性ST段抬高型心肌梗死患者冠状动脉病变严重程度的影响因素  

Influencing factors of severity of coronary artery disease in patients with acute ST-segment elevation myocardial infarction

作　　者：李红玲 李秋楠 周莉娟 LI Hongling;LI Qiunan;ZHOU Lijuan(ECG Room of Hopeshine-Minsheng Hospital of Xinzheng,Xinzheng 451100 Henan,China;ECG Room of Henan Provincial People’s Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]新郑华信民生医院心电图室,河南新郑451100 [2]河南省人民医院心电图室,河南郑州450000

出　　处：《中国民康医学》2025年第9期1-3,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察急性ST段抬高型心肌梗死患者冠状动脉病变严重程度的影响因素。方法:回顾性分析2020年4月至2023年4月90例急性ST段抬高型心肌梗死患者的临床资料,观察其冠状动脉病变严重程度,将SYNTAX评分≥33分者纳入严重病变组,<33分者纳入非严重病变组,比较两组患者一般资料,采用Logistic回归分析急性ST段抬高型心肌梗死患者冠状动脉病变严重程度的影响因素。结果:90例急性ST段抬高型心肌梗死患者中,SYNTAX评分≥33分41例,占45.56%(41/90);SYNTAX评分<33分49例。严重病变组年龄、合并糖尿病、合并高脂血症、aVR导联T波直立、aVR导联QRS波终末变形、前壁心肌梗死等占比均高于非严重病变组,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,合并高脂血症、aVR导联T波直立、aVR导联QRS波终末变形、前壁心肌梗死等均为急性ST段抬高型心肌梗死患者病变严重的危险因素(OR>1,P<0.05)。结论:合并高脂血症、aVR导联T波直立、aVR导联QRS波终末变形、前壁心肌梗死等均为急性ST段抬高型心肌梗死患者病变严重的危险因素。Objective:To observe influencing factors of severity of coronary artery disease in patients with acute ST-segment elevation myocardial infarction.Methods:The clinical data of 90 patients with acute ST-segment elevation myocardial infarction from April 2020 to April 2023 were retrospectively analyzed.The severity of coronary artery disease was observed.The patients with SYNTAX score≥33 were included in the severe lesion group,and those with SYNTAX score<33 were included in the non-severe lesion group.The general data of the two groups were compared.Logistic regression was used to analyze the influencing factors of the severity of coronary artery disease in the patients with acute STsegment elevation myocardial infarction.Results:In the 90 patients with acute ST-segment elevation myocardial infarction,there were 41 cases with the SYNTAX score≥33 points,accounting for 45.56%(41/90);there were 49 cases with the SYNTAX score<33 point.The age and the proportions of the patients with combined diabetes mellitus,combined hyperlipidemia,upright T wave in aVR lead,terminal deformation of QRS wave in aVR lead and anterior myocardial infarction in the severe lesion group were higher than those in the non-severe lesion group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that combined hyperlipidemia,upright T wave in lead aVR,terminal deformation of QRS wave in lead aVR and anterior myocardial infarction were all risk factors for the severe lesions in the patients with acute ST-segment elevation myocardial infarction(OR>1,P<0.05).Conclusions:Combined hyperlipidemia,upright T wave in lead aVR,terminal deformation of QRS wave in lead aVR and anterior myocardial infarction are the risk factors for the severe lesions in the patients with acute ST-segment elevation myocardial infarction.

关 键 词：心肌梗死 冠状动脉 影响因素 

分 类 号：R541.4[医药卫生—心血管疾病]