急性心肌梗死患者预后影响因素分析  

Prognostic factor analysis of acute myocardial infarction sufferers

作　　者：刘宁[1] 王玖[2] 

机构地区：[1]济南军区烟台疗养院,264001 [2]滨州医学院卫生统计学教研室,264003

出　　处：《中国疗养医学》2014年第12期1072-1075,1075,共4页Chinese Journal of Convalescent Medicine

基　　金：山东省自然科学基金资助项目(ZR2011HL040);山东省高等学校科技计划项目(J11LF91)

摘　　要：目的探讨影响急性心肌梗死(AMI)患者预后的主要因素,为改善急性心肌梗死患者的预后提供参考依据。方法回顾性调查AMI患者的特征、行为等因素,利用SAS 9.4软件进行单因素和因素非条件logistic逐步回归分析。结果 logistic逐步回归分析提示梗死陈旧、糖尿病史、血液白细胞数、高脂血症、心界扩大、院前延迟时间是AMI预后的主要影响因素。结论在AMI高发的形势下必须重视其预后的主要因素,采取相应措施,以有效改善预后。Objective T o analyze the m ain prognostic factors for sufferers w ith acute m yocardial infarction (AMI)so as to provide refer-ence fram e for im proving their prognosis.Methods Factors such as characteristics and behaviors of the sufferers w ith AMI w ere retrospec-tively surveyed and SA S 9.4 softw are w as adopted to conduct logistic stepw ise regression analysis of single factor and unconditional factors. ResultsMultivariable logistic stepw ise regression analysis show ed that m yocardial infarction history,history of diabetes,w hite blood cell count,hyperlipidem ia,the heart boundary expanding and prehospital delay tim e w ere im portant influencing factors for the prognosis of AMI. Conclusion It''s im portant to em phasize the prognostic factors for AMI and counterm easures should be taken to im prove their prognosis.

关 键 词：急性心肌梗死 预后因素 LOGISTIC逐步回归分析 

分 类 号：R542.22[医药卫生—心血管疾病]