摘要
目的:分析急性心肌梗死(AMI)并发心源性休克(CS)患者ICU内不良预后影响因素,为ICU内不良预后的预防提供指导,以改善患者预后质量。方法:回顾性收集2019年2月-2020年2月于笔者所在医院ICU内接受治疗的AMI并发CS患者临床资料,并从中筛选符合条件的120例患者作为研究对象,根据患者格拉斯哥预后评分结果,分为预后不良组(n=31)与预后良好组(n=89)。仔细阅读患者临床资料,将可能的影响因素纳入,经单因素与多因素分析找出AMI并发CS患者ICU内不良预后影响因素。结果:经多项Logistic回归分析检验结果显示,年龄≥70岁、冠状动脉病变支数≥3支、TIMI血流分级0~1级、合并糖尿病、肺部感染等均是AMI并发CS患者ICU内预后不良影响因素(OR>1,P<0.05)。结论:年龄≥70岁、冠状动脉病变支数≥3支、TIMI血流分级0~1级、合并糖尿病、肺部感染等均可导致AMI并发CS患者ICU内不良预后发生率升高,临床可据此实施合理的预防措施,以改善患者预后质量。
Objective:To analyze the influencing factors of the adverse prognosis of patients with acute myocardial infarction(AMI)complicated by cardiogenic shock(CS)in the ICU,and to provide guidance for the prevention of adverse prognosis in the ICU in the future,to improve the quality of the prognosis of patients.Method:The clinical data of AMI patients with CS treated in the ICU of our hospital from February 2019 to February 2020 were retrospectively collected,and 120 eligible patients were selected as the research objects.According to the Glasgow prognosis score,the patients were divided into a poor prognosis group(n=31)and a good prognosis group(n=89).Reading the patients’clinical data carefully,included possible influencing factors,and found out the adverse prognostic factors in the ICU of patients with AMI and CS through univariate and multivariate analysis.Result:The results of multiple logistic regression analysis showed that age≥70 years old,number of coronary artery diseased vessels≥3,TIMI blood flow grade 0-1,diabetes,pulmonary infection,etc.were all adverse prognostic factors in the ICU of patients with AMI and CS(OR>1,P<0.05).Conclusion:Age≥70 years old,number of coronary artery diseased vessels≥3,TIMI blood flow grade 0-1,combined with diabetes,lung infection,etc.can all lead to an increase in the incidence of poor prognosis in the ICU of patients with AMI and CS.Based on this,reasonable preventive measures can be implemented clinically to improve the quality of patient prognosis.
作者
徐明清
XU Mingqing(Songzi People’s Hospital,Songzi 434200,China)
出处
《中外医学研究》
2021年第6期50-52,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
急性心肌梗死
心源性休克
不良预后
影响因素
Acute myocardial infarction
Cardiogenic shock
Poor prognosis
Influencing factors
