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风险指数评估ST段抬高型心肌梗死患者危险性的护理意义 被引量:7

Nursing Significance of Risk Index in Assessing Prognosis of ST Elevation Myocardial Infarction
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摘要 目的 探讨风险指数在评估ST段抬高型心肌梗死 (STEMI)患者预后中的护理意义。方法 对 4 0 8例确诊为STEMI患者的风险指数进行回顾性分析。风险指数按患者入院时的心率、收缩压、年龄用公式 {HR× (age/1 0 ) 2 } /SBP计算得出。结果  (1 )随着年龄、心率和收缩压的增加 ,STEMI患者的风险指数和病死率亦随之增加(P <0 .0 5 )。 (2 )STEMI患者风险指数越大 ,住院期间死亡率越高。 (3)STEMI患者中存活组的风险指数明显低于死亡组 (P <0 .0 0 1 )。结论 STEMI患者风险指数与住院期间死亡率密切相关 。 Objective To investigate the significance of RI in assessing prognosis of patients with ST elevation myocardial infarction (STEMI).Methods Four hundred and eight cases identified as STEMI were reviewed. RI was calculated according to the formula 〔HR×(age/10)2〕/ SBP.Results 1) RI rose with increasing age, HR and SBP; 2) The greater RI, the higher the mortality of STEMI patients; 3) Mean RI in survivors was significantly lower than that in the deceased.Conclusion RI was closely correlated with mortality and is a brief and reliable marker for nurses to predict the prognosis of STEMI patients.
出处 《解放军护理杂志》 2003年第6期14-16,共3页 Nursing Journal of Chinese People's Liberation Army
关键词 风险指数 ST段拾高型心肌梗死 危险性 护理 预后 心电监护 risk index myocardial infarction
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  • 1朱大乔,周秀华,方平,孟虹.急性心肌梗死患者住院期间心脏事件的预后因素分析[J].解放军护理杂志,2003,20(2):11-13. 被引量:17
  • 2David AM,Elliott MA,Robert PG, et al. A simple risk index for rapid initial triage of patients with ST-elevation myocardial infarction: an In TIME Ⅱ substudy[J]. The Lancet, 2001, 358(9293) :1571-1575.
  • 3Eldar M, Canetti M, Rotstein Z, et al. Significance of paroxysmal atrial fibrillation complicating acute myocardial infarction in the thrombolytic era.SPRINT and Thrombolytic Survey Groups [J]. Circulation. 1998, 97 (10) :965-970.

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