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急性冠脉综合征患者PCI术后心脏不良事件发生情况及其影响因素分析 被引量:25

Occurrence of MACE after PCI in patients with ACS and its influencing factors
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摘要 目的:探讨急性冠脉综合征( acute coronary syndromes,ACS)患者经皮冠状动脉介入治疗( percutaneous coronary intervention,PCI)后心脏不良事件发生情况及其影响因素。方法选取哈尔滨市某三级甲等医院心内科确诊为ACS并行PCI的患者336例为研究对象,使用心脏不良事件影响因素调查表调查患者术后1年心脏不良事件发生情况及其影响因素。结果患者术后1年心脏不良事件发生率为22.2%。 Logistic回归分析显示,独居、吸烟、TC、LDL-C、BMI及白细胞计数是ACS行PCI患者术后1年发生心脏不良事件的独立预测因素(OR值分别为3.471,2.463,1.968,1.501,1.365,1.111;P〈0.05)。结论 ACS行PCI患者术后1年心脏不良事件的发生受诸多因素影响,早期识别并控制危险因素则尤为重要。 Objective To investigate the occurrence of major adverse cardiac events ( MACE ) after percutaneous coronary intervention ( PCI) in patients with acute coronary syndromes ( ACS) and its influencing factors.Methods A total of 336 patients diagnosed with ACS and underwent PCI in a tertiary hospital of Harbin were selected as the research object, and the influencing factors questionnaire of MACE was used to investigate the occurrence of MACE and its influencing factors. Results One year after surgery, the incidence rate of MACE was 22.2%. Logistic regression analysis showed that living alone ( OR=3.471,95%CI=1.329-9.063,P=0.011 ), smoking (OR=2.463,95%CI=1.225-4.834,P=0.009), total cholesterol (TC) (OR=1.968,95%CI=1.251-3.097,P=0.003), low-density lipoprotein cholesterol (LDL-C) (OR=1.501,95%CI=1.046-2.154, P=0.027) , body mass index ( BMI) ( OR=1.365,95%CI=1.207-1.544,P〈0.001) and white blood cell count (OR=1.111,95%CI=1.005-1.228,P=0.039) were independent factors of MACE.Conclusions The results of this study shows that the rate of MACE are affected by many factors, and early identification and control are especially important.
出处 《中华现代护理杂志》 2016年第30期4311-4315,共5页 Chinese Journal of Modern Nursing
基金 黑龙江省卫生计生委科研课题(2016.065)
关键词 护理 急性冠脉综合征 经皮冠状动脉介入治疗 主要心脏不良事件 影响因素 Nursing Acute coronary syndromes Percutaneous coronary intervention Major adverse cardiac events Influencing factor
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