心肌梗塞急性期预后影响因素分析

ANALYSIS ON INFLUENCING FACTOR OF PROGONOSIS IN ACUTE MYOCARDIAL INFARCTION.

目的 :筛选影响心肌梗塞急性期 (Acute Myocadial Infarction,AMI)预后的因素。方法 :选择了 2 16例 AMI病人 ,进行成组病例对照研究。结果 :单因素分析 (α=0 .0 5 )结果显示饮酒、使用硝酸甘油、胃肠症状、心衰、休克、心律失常、并发症等与 AMI预后呈显著相关。多因素 logistic回归分析 (α=0 .1)结果显示 ,心衰、性别、胃肠症状、心梗定位、高血压、年龄、心绞痛史、AMI并发症等均为 AMI预后的影响因素。结论 :心衰、AMI并发症、胃肠症状、年龄是影响 AMI死亡的独立危险因素 ,高血压是保护性因素 ;同时揭示高龄

Objective:in order to screen out the influencing factors of prognosis in AMI patients.Methods:A grouped case control study was perfored in 216 cases with AMI.Results:in the univariate analysis( α =0 05),the results showed that there was a statistically significant correlation between prognosis of AMI patients and the factors,such as taking notroglycerin,gastroenteric symptom,heart failure,shock,cardiac arrhythmia,complication of AMI,etc.The multiple logistic regression analysis( α =0 1) indicated that the influencing factors in progonosis of AMI were heart failure,sexuality,gastroenteric symptom,the site of MI,hypertension,age,history of angina peetors,complication of AMI,etc.Conclusion:The seperate risk factors in AMI death are heart failure,the complication of AMI,gastroentic symptom and age,etc.while hypertension is protective factor.At the same time an old aged AMI patient with history of angina pectoris is suggested that he should see doctor periodically.