择期PCI术相关性心梗的相关因素临床分析

Clinical Analysis of Related Factors of PCI-related Myocardial Infarction

目的探讨经皮冠状动脉介入治疗(PCI)后并发相关性心梗的危险因素。方法方便选取2014年4月—2017年7月该院收治的90例PCI患者分为观察组(PCI相关性心梗,45例)和对照组(非PCI相关性心梗,45例)。观察两组资料并分析PCI相关性心梗危险因素。结果观察组术后低血压7例(15.6%),血hs-CRP(3.7±1.0)mg/L,支架总长度(39.4±13.6)mm,球囊扩张次数(2.6±0.5)次,靶血管多枚支架植入22例(48.9%),与对照组比较差异有统计学意义(P<0.05)。结论术后低血压、hs-CRP、支架总长度、球囊扩张次数、靶血管多枚支架植入是PCI相关性心梗的独立危险因素。

Objective This paper tries to explore the risk factors of percutaneous coronary intervention（PCI） complicated with associated myocardial infarction. Methods 90 cases of PCI patients in this hospital from April 2014 to July 2017 were convenient selection and divided into the observation group（PCI related myocardial infarction, 45 cases） and the control group（non PCI related myocardial infarction, 45 cases）. The risk factors of PCI-related myocardial infarction of the two groups were observed. Results Postoperative hypotension in the observation group was 7 cases（15.6%）, the blood hs-CRP of（3.7±1.0） mg/L, the total length of the stent of（39.4±13.6）mm, times of balloon of（2.6±0.5） times, a plurality of target vessel stent implantation of 22 cases（48.9%）, there was statistically significant difference compared with the control group（P〈0.05）.Conclusion Postoperative hypotension, hs-CRP, total stent length, number of balloon dilation and multiple stent implantation were independent risk factors of PCI related myocardial infarction.