ST段抬高肌梗死患者远期死亡的相关因素研究.docVIP

ST段抬高心肌梗死患者远期死亡的相关因素研究 【摘要】目的 探究ST段抬高心肌梗死患者远期死亡的相关因素。方法 对我院收治的2000例ST段抬高心肌梗死患者的临床资料进行回顾性分析，根据出院后的临床结局，分为存活组与死亡组，采用Logisitic回归分析远期死亡的危险因素。结果 存活组与死亡组患者的例数分别为1635例（81.75%）与365例（18.25%）；经单因素筛选及多元回归分析后，年龄（OR=2.010）、糖尿病史（OR=2.131）、急诊经皮冠状动脉介入（PCI）（OR=2.980）以及低T3综合征（OR=1.811）等是ST段抬高心肌梗死患者远期死亡率的独立影响因素（均P0.05）。结论 ST段抬高心肌梗死患者的远期死亡率较高，与患者年龄、糖尿病史以及低T3综合征等多种因素有关，对于不存在禁忌症患者，应及时实施急诊PCI，以降低远期死亡率。 【关键词】ST段抬高；心肌梗死；远期死亡；回归分析；危险因素 Analysis of Relationship between Death Risk of Patients with Severe Cerebral Vascular Disease by Logistic Regression 【Abstract】Objective To investigate the related factors ofpatients with ST-segment elevation myocardial infarction. Methods The clinical datas of 2000 cases of patients with ST-segment elevation myocardial infarction in our hospital were analyzed retrospectively. According to the clinical outcome out of hospital, 2000 cases were divided into survival group and death group, and the factors of late death risk were analyzed by Logistic regression. Results The cases of survival group and death group patients were 1635 cases (81.75%) and 365 cases (18.25%) respectively. After single factor screening and multiple regression analysis, age(OR=2.010), history of diabetes(OR=2.131), percutaneous coronary intervention (PCI)(OR=2.980) and low T3 syndrome(OR=1.811), were independent influencing factors for the late death of patients with ST-segment elevation myocardial infarction. (all P0.05). Conclusion The late mortality rate of patients with ST-segment elevation myocardial infarction is high, which is associated with age, history of diabetes and low T3 syndrome, and percutaneous coronary intervention should be implemented for patients without contraindications, in order to reduce the late mortality rate. 【Key words】; myocardial infarction; late death; regression analysis; risk factor ST段抬高心肌梗死（ST-segment elevation myocardial infarction, STEMI）容易发生心源性猝死，对患者的健康质量及生命安全造成严重的威胁[1]。随着经皮冠状动脉介入（percutaneous coronary intervention, PCI）技术的逐渐推广，ST段抬高心肌梗死患者的住院死亡率