本文選題：心肌梗死 + 心力衰竭�。� 參考：《中國循環(huán)雜志》2017年01期

【摘要】：目的 :探討急性下壁或合并右心室心肌梗死患者心力衰竭(心衰)的危險因素。方法 :將我院2013-01至2015-06期間143例因急性下壁或合并右心室心肌梗死入院患者按是否發(fā)生心衰,分為心衰組81例,非心衰組62例,從年齡、性別、高血壓等因素對心衰形成的危險因素進(jìn)行回顧性分析。結(jié)果 :心衰組高血壓、女性、超敏C反應(yīng)蛋白、血肌酐、入院后第3天補液量、以V4~6導(dǎo)聯(lián)ST段壓低為主發(fā)生比例顯著高于非心衰組,而入院時舒張壓顯著低于非心衰組。經(jīng)多因素Logistic回歸分析顯示,高血壓[OR=3.275,95%可信區(qū)間(CI):1.220~8.793)、女性(OR=13.236,95%CI:3.476~50.405)、超敏C反應(yīng)蛋白(OR=1.029,95%CI:1.005~1.070)、入院時低舒張壓(OR=0.945,95%CI:0.911~0.979)、血肌酐(OR=1.053,95%CI:1.029~1.078)、以V4~6導(dǎo)聯(lián)ST段壓低為主(OR=4.118,95%CI:1.395~12.154)均與心衰事件呈正相關(guān)。結(jié)論 :急性下壁或合并右心室心肌梗死患者發(fā)生心衰比例較高,且受多種因素影響。其中高血壓、女性、入院時舒張壓、超敏C反應(yīng)蛋白、血肌酐、伴V4~6導(dǎo)聯(lián)ST段壓低為主是急性下壁或合并右心室心肌梗死患者發(fā)生心衰的獨立危險因素。
[Abstract]:Objective: to investigate the risk factors of heart failure in patients with acute inferior wall or right ventricular myocardial infarction. Methods: from January 2013 to June 2015-06, 143 patients with acute inferior wall or right ventricular myocardial infarction were divided into two groups: heart failure group (n = 81) and non-heart failure group (n = 62). The risk factors of heart failure were analyzed retrospectively by hypertension and other factors. Results: the incidence of hypertension, female, hypersensitive C-reactive protein, serum creatinine, the volume of fluid rehydration on the 3rd day after admission, the incidence rate of St segment depression in lead V4 + 6 was significantly higher than that in the non-CHF group, and the diastolic blood pressure was significantly lower at admission than that in the non-CHF group. 緇忓鍥犵礌Logistic鍥炲綊鍒嗘瀽鏄劇ず,楂樿鍘媅OR=3.275,95%鍙俊鍖洪棿(CI):1.220~8.793),濂蟲，

本文編號：2105561