摘要
目的分析急性心肌梗死患者的临床特征及心力衰竭相关因素。方法选取2016年4月-2018年6月急性心肌梗死患者178例,根据心功能不同分为心力衰竭组72例和非心力衰竭组106例。比较2组患者的临床特征,分析影响心力衰竭的相关因素。结果心力衰竭组吸烟史人数占比、血糖水平、BNP水平均高于非心力衰竭组,而服药人数占比低于非心力衰竭组,差异均有统计学意义(P<0.05)。心力衰竭组以双支病变和三支病变为主,非心力衰竭组以单支病变为主,差异有统计学意义(P<0.05)。心力衰竭组心肌梗死部位主要以前壁为主,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,心肌肌钙蛋白、用药治疗是影响心肌梗死患者心力衰竭的重要因素(P<0.05),其余因素与心力衰竭发病无关(P>0.05)。结论急性心肌梗死患者心肌梗死部位主要为前壁和广泛前壁,心肌肌钙蛋白和用药情况是影响心肌梗死患者心力衰竭的因素。
Objective To analyze the clinical features and related factors of heart failure in patients with acute myocardial infarction.Methods 178 patients with acute myocardial infarction from April 2016 to June 2018 were selected,and they were divided into heart failure group(72 cases)and non-heart failure group(106 cases)according to cardiac function.The clinical characteristics of the two groups of patients were analyzed and related factors affecting heart failure were analyzed.Results The number of smoking history,the level of blood glucose and BNP in the heart failure group were higher than those in the non-heart failure group,and the proportion of patients taking the drug was lower than that in the non-heart failure group,the differences were statistically significant(P<0.05).The heart failure group mainly consisted of double-vessel disease and three-vessel disease,the non-heart failure group mainly consisted of single-vessel disease(P<0.05).The main anterior wall of the myocardial infarction group were mainly in the heart failure group(P<0.05).Multivariate Logistic regression analysis showed that cardiac troponin and medication were important factors influencing heart failure in patients with myocardial infarction(P<0.05),and other factors were not associated with heart failure(P>0.05).Conclusion The myocardial infarction in patients with acute myocardial infarction is mainly anterior wall and extensive anterior wall,cardiac troponin and medication are the factors affecting myocardial infarction.
作者
曹磊
掌瑜
CAO Lei;ZHANG Yu(Emergency Medical Center,The Affiliated Hospital of Xuzhou Medical University,Jiangsu Province,Xuzhou 221002,China)
出处
《临床合理用药杂志》
2019年第34期16-18,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
急性心肌梗死
临床特征
心力衰竭
因素
Acute myocardial infarction
Clinical features
Heart failure
Factors
