急性ST段心肌梗死患者急救治疗延误时间的多因素分析

Multivariate Analysis of the Delay Time of Emergency Treatment in Patients with Acute ST-elevation Myocardial Infarction

目的:对急性ST段心肌梗死患者急救治疗延误时间的多个影响因素进行分析。方法:选择我中心107例急性ST段心肌梗死患者,将6h作为急救治疗延误时间临界点,将其分为延误组和非延误组,对急救治疗延误时间的相关因素进行分析。结果:从年龄、性别、文化程度、就诊方式、疼痛程度、有无心绞痛史等均与急性ST段心肌梗死患者急救治疗延误时间存在明显相关性(P<0.05),Logistic回归分析结果显示文化程度、就诊方式、疼痛程度、心绞痛史是导致患者急救治疗延误的独立性影响因素。结论:导致急性ST段心肌梗死患者急救治疗延误时间的因素较多,临床应积极分析影响因素,及时制定解决对策,最大程度的降低延误率。

Objective: To analyze the influence of multiple factors on the delay time of emergency treatment of acute myocardial infarction in patients with ST.Methods:107 cases of acute myocardial infarction in ST segment,6h as the critical point,divided into delay group and non delay group,the relevant factors were analyzed.Results:Age,gender,education,treatment methods and the degree of pain,angina pectoris history,with acute ST segment myocardial infarction emergency delay time correlationP<0.05),logistic regression analysis results,shows that the cultural degree,treatment methods and the degree of pain,history of angina is lead to a delay in the timing of the independent influencing factors.Conclusion:There were many factors leaded to acute ST segment myocardial infarction emergency treatment delays,should actively analyze the impact of factors,development solutions timely,reduce delays rates maximally.