摘要
目的分析急性ST段抬高型心肌梗死(STEMI)患者PCI术后转归的影响因素。方法选择2020年1月至2023年1月于我院行PCI治疗的400例急性STEMI患者,根据心功能分级分为良好转归组(38例,心功能≥Ⅲ级)与不良转归组(362例,心功能<Ⅲ级)。统计两组的临床资料与实验室指标检测结果,分析急性STEMI患者PCI术后转归的影响因素。结果单因素分析结果显示,年龄、HbA1c、cTnⅠ、MPV、BNP、LVEF、梗死血管开通时间均与急性STEMI患者PCI术后不良转归密切相关(P<0.05)。多因素分析结果显示,年龄≥60岁、cTnⅠ、MPV、BNP、LVEF与梗死血管开通时间均为急性STEMI患者PCI术后不良转归的主要影响因素(P<0.05)。结论高龄及cTnⅠ、MPV、BNP异常升高的急性STEMI患者行PCI术后不良转归风险更高,且随着LVEF降低、梗死血管开通时间延长,患者不良转归风险增加。临床应针对上述情况对患者采取个体化干预措施,以降低其心功能恶化风险。
Objective To analyze the influencing factors of outcomes of patients with acute ST-segment elevation myocardial infarction(STEMI)after PCI.Methods 400 patients with acute STEMI with PCI in our hospital from January 2020 to January 2023 were selected and divided into good outcome group(38 cases,cardiac function≥Ⅲ)and poor outcome group(362 cases,cardiac function<Ⅲ)according to the cardiac function grades.The clinical data and laboratory index detection results of the two groups were counted to analyze the influencing factors of outcomes in patients with acute STEMI after PCI.Results Univariate analysis results showed that the age,HbA1c,cTnⅠ,MPV,BNP,LVEF,and infarct vessel opening time were closely associated with adverse outcomes after PCI in acute STEMI patients(P<0.05).Multivariate analysis results showed that the age≥60 years old,cTnⅠ,MPV,BNP,LVEF and infarct vessel opening time were the main influencing factors of adverse outcomes in acute STEMI patients after PCI(P<0.05).Conclusions Older acute STEMI patients with abnormally elevated cTnⅠ,MPV and BNP have higher risk of adverse outcomes after PCI,and the risk of adverse outcomes is higher with the decrease of LVEF and the prolongation of infarct vessel opening time.Clinical individualized intervention measures should be taken to reduce the risk of cardiac function deterioration.
作者
岳凤阳
杨晓航
YUE Fengyang;YANG Xiaohang(12^(th)Ward of Cardiology,Zhengzhou Seventh People's Hospital,Zhengzhou 450008,China)
出处
《临床医学工程》
2023年第9期1313-1314,共2页
Clinical Medicine & Engineering
关键词
急性ST段抬高型心肌梗死
PCI
不良转归
影响因素
Acute ST-segment elevation myocardial infarction
PCI
Adverse outcome
Influencing factor
