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刘奕婷, 王巍, 时景璞. PCI术后急性心肌梗死患者再发影响因素分析[J]. 中国公共卫生, 2016, 32(4): 558-562. DOI: 10.11847/zgggws2016-32-04-39
引用本文: 刘奕婷, 王巍, 时景璞. PCI术后急性心肌梗死患者再发影响因素分析[J]. 中国公共卫生, 2016, 32(4): 558-562. DOI: 10.11847/zgggws2016-32-04-39
LIU Yi-ting, WANG Wei, SHI Jing-pu. Influencing factors of reinfarction among patients with acute myocardial infarction after PCI: a case-control study[J]. Chinese Journal of Public Health, 2016, 32(4): 558-562. DOI: 10.11847/zgggws2016-32-04-39
Citation: LIU Yi-ting, WANG Wei, SHI Jing-pu. Influencing factors of reinfarction among patients with acute myocardial infarction after PCI: a case-control study[J]. Chinese Journal of Public Health, 2016, 32(4): 558-562. DOI: 10.11847/zgggws2016-32-04-39

PCI术后急性心肌梗死患者再发影响因素分析

Influencing factors of reinfarction among patients with acute myocardial infarction after PCI: a case-control study

  • 摘要: 目的 探讨急性心肌梗死(AMI)患者出现再发性梗死相关影响因素。方法 选择2011年1月-2013年12月首次在中国医科大学附属第一医院循环内科接受冠脉介入治疗(PCI)术的AMI患者作为研究人群,1年后对其进行随访,按照是否再发分为病例组和对照组。利用病历收集记录符合条件的AMI患者的相关临床资料和电话随访方式获取其术后生活习惯及服药情况等基本资料。结果 病例组与对照组之间年龄、吸烟史、饮酒史、收缩压(SBP)水平、Killip心功能分级、高血压病史和糖尿病病史、甘油三酯(TG)水平、低密度脂蛋白(LDL-C)水平、梗死后心绞痛、狭窄血管数、术后服药情况和术后体育锻炼,差异均有统计学意义(P<0.05)。结论 SBP、Killip心功能分级、高血压病史、梗死后心绞痛和术后服药情况是AMI患者支架植入后是否再发的影响因素。

     

    Abstract: Objective To explore the relevant factors of myocardial reinfarction among patients with acute myocardial infarction(AMI) after percutaneous coronary intervention(PCI).Methods A total of 264 AMI patients experienced PCI for the first time in Cardiology Department of First Affiliated Hospital of China Medical University from January 2011 to December 2013 were recruited consecutively and followed-up for one year;then the patients were assigned into a case group(88 with myocardial reinfarction) and a control group(176 gender and PCI time-matched).Clinical data of the participants were extracted from their medical records and information on postoperative habits of daily life and medication were collected via telephone interviews.SPSS 16.0 statistical software was used in analyses.Results Significant differences between the cases and controls were observed in age, histories of smoking and alcohol drinking, systolic blood pressure(SBP), Killip grade of cardiac function, histories of hypertension and diabetes, levels of triglyceride(TG) and low-density lipoprotein cholesterol(LDL-C), postinfarction angina, severity of angiostenosis, and postoperative medication and physical exercise(all P<0.05).Conclusion SBP, Killip grade of cardiac function, hypertension history, postinfarction angina and postoperative medication may be independent factors for myocadial reinfarction in AMI patients after stent implantation.

     

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