CAJ | 학술논문

目的：分析70例急性心肌梗死青年（≤45岁）患者的预后及其影响因素。方法回顾性收集2007年1月至2012年12月期间苏州大学附属第一医院的青年急性心肌梗死病例，采集基本资料及预后情况。预后不良为住院期间至随访时出现主要不良心脏事件。2013年6月完成随访。对预后因素首先进行单因素分析，如存在1个以上有意义变量，进一步采用logistic回归行多因素分析。结果单因素分析显示，预后不良组行择期经皮冠状动脉介入治疗（percutaneous coronary intervention，PCI）的比例明显低于预后良好组（5.3% vs 27.5%，P＜0.05）。结论对于未行急诊PCI的青年急性心肌梗死患者，择期PCI可能改善预后。
목적：분석70례급성심기경사청년（≤45세）환자적예후급기영향인소。방법회고성수집2007년1월지2012년12월기간소주대학부속제일의원적청년급성심기경사병례，채집기본자료급예후정황。예후불량위주원기간지수방시출현주요불양심장사건。2013년6월완성수방。대예후인소수선진행단인소분석，여존재1개이상유의의변량，진일보채용logistic회귀행다인소분석。결과단인소분석현시，예후불량조행택기경피관상동맥개입치료（percutaneous coronary intervention，PCI）적비례명현저우예후량호조（5.3% vs 27.5%，P＜0.05）。결론대우미행급진PCI적청년급성심기경사환자，택기PCI가능개선예후。
Objective To observe the prognosis and its influence factors in 70 young adults(less than 45 years) with acute myocardial infarction.Methods The datum and prognosis of young patients with acute myocardial infarction were retrospectively collected in department of cardiology of the first affiliated hospital of Soochow University from January 2007 to December 2012. Poor prognosis was confirmed if there was any major adverse cardiac event(MACE) from admission to the follow up. The follow up was finished in June 2013. The influence factors were analyzed by univariate analysis, and multivariate logistic regression analysis would be further used if there were more than one significant factors.Results Chi-square test showed that the ratio of selective percutaneous coronary intervention(PCI) is much lower in patients with poor prognosis than that with good prognosis(5.3% vs 27.5,P<0.05). Conclusions Selective PCI possibly improves prognosis for young patients with acute myocardial infarction without emergency PCI.