【摘要】：目的:分析急診經(jīng)皮冠狀動(dòng)脈介入(percutaneous coronary intervention,PCI)治療急性心肌梗死(acute myocardial infarction,AMI)患者的病例資料,旨在探討影響急診PCI治療AMI患者住院期間不良預(yù)后的相關(guān)因素。方法:回顧性分析2010年1月至2014年12月中南大學(xué)湘雅二醫(yī)院行急診PCI治療AMI的患者資料,根據(jù)是否發(fā)生心血管不良事件分為事件組及非事件組,比較兩組間可能引起心血管不良事件發(fā)生的相關(guān)因素。結(jié)果:不良事件的發(fā)生率為22%(67/304);通過(guò)t檢驗(yàn)或χ2檢驗(yàn)發(fā)現(xiàn):肌酐,腦鈉肽(brain natriuretic peptide,BNP),紅細(xì)胞比容,白細(xì)胞、年齡75歲,Killip分級(jí)≥2級(jí),術(shù)后心肌梗死溶栓治療(thrombolysis in myocardial infarction,TI MI)血流≤2級(jí),術(shù)前發(fā)生心律失常、多支病變,術(shù)后2 h ST段回落率50%,長(zhǎng)就診至球囊擴(kuò)張(door-to-balloon,D2B)時(shí)間差異具有統(tǒng)計(jì)學(xué)意義(P0.05),進(jìn)一步進(jìn)行l(wèi)ogistic回歸分析,其結(jié)果顯示:紅細(xì)胞比容(red blood cell specific volume,HCT)、N端腦鈉肽激素原前體(N-terminal pro-brain natriuretic peptide,NTpro BNP)、Ki l lip分級(jí)≥2級(jí)、術(shù)后TI MI血流≤2級(jí)、術(shù)后2 h ST段回落率50%、長(zhǎng)D2B時(shí)間是心血管不良事件發(fā)生的重要影響因素。結(jié)論:HCT,NT-pro BNP,Killip分級(jí)≥2級(jí),術(shù)后TIMI血流≤2級(jí),術(shù)后2 h ST段回落率50%、長(zhǎng)D2B時(shí)間是心血管不良事件發(fā)生的重要影響因素,對(duì)上述高�；颊哌M(jìn)行積極的監(jiān)測(cè)與處理,能夠有效改善AMI患者急診PCI術(shù)后的預(yù)后,減少住院期間不良事件的發(fā)生。
[Abstract]:Objective: to analyze the data of patients with acute myocardial infarction (acute myocardial infarction,AMI) treated with emergency percutaneous coronary intervention (percutaneous coronary intervention,PCI). Methods: the data of AMI patients treated with emergency PCI in Xiangya second Hospital of Central South University from January 2010 to December 2014 were analyzed retrospectively. According to whether cardiovascular adverse events occurred, they were divided into event group and non-event group. To compare the risk factors of cardiovascular adverse events between the two groups. Results: the incidence of adverse events was 22% (67 / 304). T test or 蠂 2 test showed that: creatinine, brain natriuretic peptide (brain natriuretic peptide,BNP), erythrocyte volume, white blood cell, age 75 years old, Killip grade 鈮，

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