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急性心肌梗塞患者便秘现状及其危险因素 被引量:4

Incidence and risk factors for constipation in patients with acute myocardial infarction
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摘要 目的:了解急性心肌梗塞(acute myocardial infarction,AMI)患者便秘的发生现状及危险因素.方法:回顾性分析334例AMI出院患者住院期间的排便情况,并对其相关因素进行危险度分析.结果:AMI患者便秘的发生率为32.6%,其中未使用缓泻剂组便秘发生率为61.5%,乳果糖组便秘发生率为21.9%,大黄苏打组为24.8%.住院期间给予缓泻剂是预防A M I患者住院期间发生便秘的保护性因素(O R=0.544,P<0.05),合并糖尿病(O R=1.813,P<0.05)、缓泻剂使用时机不当(OR=0.589,P<0.05)是A M I患者便秘发生的危险因素.结论:AMI患者便秘发生率高、影响因素复杂,应制定规范的措施预防AMI患者便秘的发生. AIM:To investigate the incidence and risk factors for constipation in patients with acute myocardial infarction(AMI).METHODS:The study had a retrospective design,and 334 AMI patients were included.The incidence and risk factors for constipation were analyzed in these patients.RESULTS:The incidence of constipation was32.6%in the overall AMI patient population,61.5%in those who did not use laxatives,21.9% in those who received milk fructose,and24.8%in those who received rhubarb soda.The use of laxatives was a protective factor for constipation during the hospitalization period(OR=0.544,P〈0.05),while combined diabetes(OR=1.813,P〈0.05) and the improper timing of laxative use were risk factors(OR=0.589,P〈0.05).CONCLUSION:The incidence of constipation in AMI patients is high,and there are many influencing factors.Preventive measures should be taken to reduce the occurrence of constipation in hospitalized AMI patients.
出处 《世界华人消化杂志》 CAS 2015年第27期4442-4446,共5页 World Chinese Journal of Digestology
基金 贵州省科技联合基金资助项目 No.黔科合LH字[2014]7030号~~
关键词 急性心肌梗塞 便秘 发生率 危险因素 Acute myocardial infarction Constipation Incidence Dangerous factors
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