摘要
目的分析行急诊经皮冠状动脉介入术后的急性ST段抬高型心肌梗死ST段回落的相关影响因素。方法收集2015年1月—2017年6月在我院行急诊PCI术的急性ST段抬高型心肌梗死患者91例,根据术后ST段回落情况分为ST段回落良好组60例与ST段回落不良组31例。回顾性分析所有患者的临床资料,比较两组患者基线资料、实验室检查结果及手术相关等资料。结果 ST段回落良好组与ST段回落不良组在入院心率、出现症状至冠脉开通时间、左前降支病变方面差异有统计学意义(P<0.05)。多因素logistic回归分析显示,出现症状至冠脉开通时间和左前降支病变是急性ST段抬高型心肌梗死患者急诊PCI术后ST段回落不良的独立影响因素。结论再灌注时机和梗死相关血管与急性ST段抬高型心肌梗死患者急诊PCI术后ST段回落不良有关。
Objective To explore the related factors of abnormality of ST segment resolution after PCI in patients with acute ST-segement elevation myocardial infarction.Methods 91 patients of acute ST-segement elevation myocardial infarction with PCI from January 2015 to June 2017 were selected and divided into normality group（n=60） and abnormality group（n=31）.The clinical data were analyzed and the baseline data,laboratory examinations and operations were compared.Results There were significant differences of heart rate,the onset of symptom to balloon coronary artery opening time and left anterior descending artery lesion in the two groups（P〈0.05）.Multiple Logistic analysis showed than the independent influencing factors of ST segment resolution in patients with acute ST-segement elevation myocardial infarction after PCI were the onset of symptom to balloon coronary artery opening time and left anterior descending artery lesion.Conclusion Reperfusion time and infarction related artery are related to ST segment resolution in patients with acute STsegement elevation myocardial infarction after PCI.
出处
《中国卫生标准管理》
2017年第26期48-49,共2页
China Health Standard Management
关键词
急性ST段抬高型心肌梗死
急诊经皮冠状动脉介入治疗术
ST段回落不良
相关因素
acute ST-segement elevation myocardial infarction
emergencypercutaneous coronary intervention
abnormality of ST segment resolution
related factors
