摘要
目的探讨急性心肌梗死(AMI)行经皮冠脉介入术(PCI)术后再发的危险因素与预防性护理措施。方法回顾性分析本院242例AMI行PCI患者的临床资料,根据发病情况分为首发组102例与再发组140例。对比2组临床资料,对AMI行PCI术后再发的危险因素进行单因素与多因素Logistic回归分析。结果再发组年龄≥60岁、糖尿病、高血压、高脂血症、吸烟史、术前左心射血分数(LVEF)、术前Killp分级Ⅱ～Ⅳ级的发生率均高于首发组(P <0. 05),用药依从性低于首发组(P <0. 05)。经多因素Logistic回归分析发现,年龄≥60岁、糖尿病、高血压、高脂血症、吸烟史、术前LVEF、术前Killp分级Ⅱ～Ⅳ级、病变支数为多支及用药依从性是影响AMI行PCI术后再发的独立危险因素。结论 AMI行PCI术后再发与患者年龄、基础疾病、心功能及用药依从性相关,采取有效的预防性护理措施可以保证预后质量,避免疾病再发。
Objective To explore the risk factors and preventive nursing measures for recurrence of acute myocardial infarction （AMI） after percutaneous coronary intervention（PCI）. Methods The clinical data of 242 patients with AMI undergoing PCI in our hospital were retrospectively analyzed. AnD were divided into first-episode group （102 cases） and relapse group （140 cases）. The risk factors of recurrence of AMI after PCI were analyzed by univariate and multivariate logistic regression. Results The age （〉60）, diabetes mellitus, hypertension, hyperlipidemia, smoking history, preoperative LVEF, preoperative Killp grade Ⅱ-Ⅳ in the relapse group were higher than thAT in the first-episode group （ P 〈0.05）, and the compliance of drug use was lower than that in the first-episode group （ P 〈0.05）. Multivariate logistic regression analysis showed that age （〉60 years）, diabetes mellitus, hypertension, hyperlipidemia, smoking history, preoperative LVEF, preoperative Killp grade Ⅱ-Ⅳ, multiple vessel lesions and drug compliance were independent risk factors for recurrence of AMI after PCI （ P 〈0.05）. Conclusion The risk factors of recurrence of AMI after PCI are related to age, basic disease, cardiac function and drug compliance. Effective preventive nursing measures can ensure the quality of prognosis and avoid recurrence of disease.
作者
杨楠
李娜
YANG Nan;LI Na(Department of Emergency,Baoji Traditional Chinese Medicine Hospital in ShaanxiProvince,Baoji,Shaanxi,721000)
出处
《实用临床医药杂志》
CAS
2018年第22期117-120,共4页
Journal of Clinical Medicine in Practice
关键词
急性心肌梗死
经皮冠脉介入术
术后再发
危险因素
预防性护理
acute myocardial infarction
percutaneous coronary intervention
postoperative recurrence
risk factors
preventive care
