总胆固醇及肌酐水平检测对急性心肌梗死患者PCI治疗预后的作用分析

The Role of Total Cholesterol and Creatinine Levels in the Prognosis of Patients with Acute Myocardial Infarction Treated with PCI

目的分析总胆固醇及肌酐水平对急性心肌梗死患者PCI治疗预后的预测作用。方法选取2018年4月至2019年4月扬州市江都人民医院接受PCI治疗的急性心肌梗死患者74例为研究对象,均进行总胆固醇(TC)及肌酐(Scr)水平检测,依据肌酐水平分为观察组与对照组,比较两组总胆固醇水平、预后情况。结果治疗前两组患者的TC、Scr水平比较差异无统计学意义(P>0.05);治疗后两组患者的TC、Scr水平明显优于治疗前,且观察组优于对照组(P<0.05);预后良好患者TC水平、Scr水平低于预后不良患者(P<0.05)。结论总胆固醇及肌酐水平检测对急性心肌梗死患者PCI治疗预后有良好预测作用,总胆固醇及肌酐水平升高提示患者心血管受损程度升高,有助于指导临床制订正确的干预方案。

Objective To analyze the predictive effect of total cholesterol and creatinine levels on prognosis in patients with acute myocardial infarction undergoing PCI.Methods 74 patients with acute myocardial infarction treated by PCI in Jiangdu People's Hospital of Yangzhou City from April 2018 to April 2019 were selected as the study subjects and included in the observation group.At the same time,50 healthy persons were selected as the control group.The levels of total cholesterol and creatinine were measured in both groups,and the results were analyzed.Results The level of TC and Scr in the observation group was higher than that in the control group(P<0.05),the level of TC,Scr in the observation group was lower than that before treatment,and the level of TC and Scr in the observation group was lower than that in the patients with poor prognosis(P<0.05).Conclusion The detection of total cholesterol and creatinine has a good predictive effect on the prognosis of patients with acute myocardial infarction.The increase of total cholesterol and creatinine indicates that the degree of cardiovascular damage is increased,which helps to guide the clinical development of correct intervention.