心肌梗死急性期ApoB/AI比值与其他预后影响因素的相关性分析

Correlation analysis on ApoB/Al ratio and other factors affecting the prognosis in acute myocardial infarction

目的:探讨急性期ApoB/AI比值在急性心肌梗死(AMI)患者预后评估中的价值。方法:选择AMI患者98例,收集年龄、左心室射血分数(LVEF)、体质指数(BMI)、冠状动脉造影(CAG)以及ApoB/AI比值数据进行分析。结果:死亡组年龄、BMI均高于存活组,且差异有统计学意义(P<0.01),提示年龄、BMI越大,预后越差;死亡组LVEF<50%的患者比例显著高于存活组,病变血管支数明显多于存活组,差异有统计学意义(P<0.01);死亡组患者入院时平均ApoB/AI比值明显高于存活组(P<0.01),且存活组患者随着治疗时间的延长,APoB/AI比值明显呈下降趋势(P<0.01);入院时ApoB/AI比值与BMI、Gensini积分呈正相关,而与LVEF呈负相关(P<0.05)。结论:ApoB/AI与AMI患者的预后及其影响因素密切相关,可以作为AMI患者预后评估的重要指标之一。

Objective：To explore the clinical value of ApoB/Al ratio in assessment on the prognosis of acute myocardial infarction（AMI）.Method：98patients with AMI were selected,and the data of ages,left ventricular ejection fraction（LVEF）,body mass index（BMI）and coronary angiography（CAG）and ApoB/AI ratio were analyzed.Result：The age and BMI showed negative correlation with the prognosis of AMI,and the difference is statistically significant（P〈0.01）.The proportion of patients with LVEF 50% in death group was significantly higher than that of survival group,so as multivessel lesions,and the data has significant differences（P〈0.01）.The ApoB/AI ratio of death group was higher than that of survival group.And the ApoB/AI ratio of the survival group decreased significantly after treatment（P〈0.01）.The ApoB/AI ratio on admission was positively correlated with BMI,Gensini score,and negative correlated with LVEF,and the differences were statistically significant（P〈0.05）.Conclusion：The ApoB/AI ratio is clearly correlated with the prognosis as well as its factors of AMI,and can be one of the important indicators of prognosis evaluation of AMI.