本文選題：急性心肌梗死 + 心室顫動��； 參考：《廣東醫(yī)學(xué)》2016年09期

【摘要】：目的探討影響急性心肌梗死(AMI)患者院內(nèi)并發(fā)心室顫動(VF)的危險因素。方法 885例AMI患者根據(jù)住院期間是否發(fā)生VF分成兩組:VF組(n=28)和非VF組(n=857),回顧性分析兩組患者的臨床資料,并對相關(guān)危險因素進(jìn)行單因素及多因素分析,探討AMI患者院內(nèi)發(fā)生VF的獨(dú)立危險因素。結(jié)果 885例AMI患者中,28例發(fā)生VF(3.1%)。單因素分析表明,VF組患者的入院時收縮壓和左室射血分?jǐn)?shù)(EF)明顯低于非VF組(P0.05);而慢性腎功能不全病史、前壁心肌梗死、心房顫動、Killip分級Ⅱ級和心源性休克患者的比例,以及心率、呼吸頻率、空腹血糖、血清肌酐(Cr)、血清肌酸激酶MB同工酶(CK-MB)和血清肌鈣蛋白Ⅰ(c TNI)等指標(biāo)均明顯高于非室顫組,差異有顯著性意義(P0.05)。多因素Logistic回歸分析表明,慢性腎功能不全(OR=2.313)、心源性休克(OR=4.193)、心房纖顫(OR=2.823)、Killip分級Ⅱ級(OR=3.674)是AMI患者住院期間并發(fā)VF的獨(dú)立危險因素。結(jié)論慢性腎功能不全、心源性休克、心房纖顫、Killip分級Ⅱ級是急性心肌梗死患者住院期間并發(fā)室顫的獨(dú)立危險因素。
[Abstract]:Objective to investigate the risk factors of ventricular fibrillation (VF) in patients with acute myocardial infarction (AMI). Methods Eighty-five patients with AMI were divided into two groups according to whether VF occurred during hospitalization. The clinical data of the two groups were analyzed retrospectively, and the related risk factors were analyzed by univariate and multivariate analysis. Objective: to investigate the independent risk factors of hospital VF in patients with AMI. Results of the 885 patients with AMI, 28 had VF3. 1. Univariate analysis showed that systolic blood pressure (SBP) and left ventricular ejection fraction (EFF) were significantly lower in the VF group than in the non-VF group (P 0.05), while the proportion of patients with chronic renal insufficiency, anterior wall myocardial infarction, atrial fibrillation Killip grade 鈪，

本文編號：1930703