PCI术中发生再灌注心律失常的相关因素分析

Factors and nursing of reperfusion arrhythmia in patients before and during PCI

目的:探讨经皮冠状动脉介入(PCI)术中发生再灌注心律失常(RA)的影响因素与护理。方法:选择急性心肌梗死(AMI)并行PCI治疗的患者192例,其中109例患者在PCI术中发生RA。分析RA发生的可疑因素并纳入Logistic回归分析。结果:血糖>6.0 mmol/L、手术时间>1 h、动脉压力波形异常、病变血管血流TIMI 0级、发病至血管再通时间≤6 h、多支血管病变是RA发生的危险因素(均P<0.05)。结论:控制血糖水平,缩短手术时间,及时监测动脉压波形及相关病变血管情况是治疗AMI的关键。

Objective：To investigate the factors and nursing of reperfusion arrhythmia （ RA） before and during percutaneous coronary interventions （ PCI） . Methods：192 patients with acute myocardial infarction （ AMI） treated by PCI were collected for study. Suspicious factors were analyzed for RA patients and assessed by Logistic regression model. Results：Glucose 〉6. 0 mmol/L,operative time 〉1 h,abnormal arterial pressure waveform,lesions blood flow TIMI level-0,onset to recanalization time≤6 h,multi-vessel disease were risk factors for the RA （P〈0. 05）. Conclusion：It is critical to treat AMI patients by controlling blood glucose,shortening operative time,timely monitoring arterial pressure waveform and related vascular lesions.