影响首诊急性心肌梗死患者预后的因素分析

Analysis of factors influencing prognosis of first-visiting patients with acute myocardial infarction

目的探讨影响首诊急性心肌梗死患者预后的危险因素。方法回顾性收集2015年1月至2015年12月首次就诊选择广东省人民医院的325例急性心肌梗死患者的临床资料。以患者年龄、性别、原发性高血压(高血压)、糖尿病、肾功能、是否接受急诊经皮冠状动脉支架手术(急诊经皮冠状动脉介入治疗)等作为分析因子,随访2年,观察其病死率。通过Logistic回归分析的统计方法遴选出影响该类患者病死率的危险因素。结果高龄、肾功能不全、未接受手术的患者比例在死亡组明显高于存活组,差异有统计学意义(P<0.05)。结论急诊或者择期经皮冠状动脉介入治疗对患者2年的存活率有影响,即使对于高龄、肾功能不全患者。

Objectives To explore the factors that affecting the prognosis of first-visiting patients with acute myocardi?al infarction.Methods Clinical data of325first-visiting patients with acute myocardial infarction in Guangdong Gen?eral Hospital from January2005to December2015were retrospectively collected.Age,sex,hypertension,diabetes mellitus,renal insufficiency,emergency percutaneous coronary intervention(PCI)were taken as analysis factors.Patients were followed up for2years to observe the mortality.Logistic regression analysis was used to select the factors that affecting the mortality of such patients.Results Percentage of patients with large age,renal dysfunction and not receiving PCI in death group were significantly higher than those in survival group(P<0.05).Conclusions Emergency or elective PCI is meaningful for survival in patients with acute myocardial infarction during2years of follow-up,even in the elderly,renal insufficiency patients.