CAJ | 학술논문

目的:研究心率对急性心肌梗死患者住院期间病死率的影响.方法:回顾性分析121例急性心肌梗死患者临床资料,入院时将患者心率以80次/min、90次/min为临界值分为三组,观察对比三组心率患者的心功能和死亡率.结果:心率>90次/min组的患者,其左室舒张末期内径高,左室收缩末期内径高,左室射血分数低,死亡率更高,与其他两组比较差异有统计学意义(P<0.05);其他两组左室舒张末期内径、左室收缩末期内径、左室射血分数以及死亡率等比较,差异无统计学意义(P>0.05).结论:急性心肌梗死入院时心率增快是死亡的一种预测因子,值得在临床上引起注意.
목적:연구심솔대급성심기경사환자주원기간병사솔적영향.방법:회고성분석121례급성심기경사환자림상자료,입원시장환자심솔이80차/min、90차/min위림계치분위삼조,관찰대비삼조심솔환자적심공능화사망솔.결과:심솔>90차/min조적환자,기좌실서장말기내경고,좌실수축말기내경고,좌실사혈분수저,사망솔경고,여기타량조비교차이유통계학의의(P<0.05);기타량조좌실서장말기내경、좌실수축말기내경、좌실사혈분수이급사망솔등비교,차이무통계학의의(P>0.05).결론:급성심기경사입원시심솔증쾌시사망적일충예측인자,치득재림상상인기주의.
@@@@Objective:To study the heart rate of patients with acute myocardial infarction for mortality during hospitalized.Methods:Choosed the 121 patients of the clinical data who got the acute myocardial infarction to do a retrospective analysis,and used the heart rate admission 80 beats/min,90 beats/min threshold,then observed and compared the heart rate in patients with heart function and mortality in three groups.Results:The patients whose heart rate above 90 beats/min had a higher left ventricular end-diastolic diameter and left ventricular systolic diameter,but had a low left ventricular ejection fraction, and they had a higher mortality,compared to the other two groups,the differences were significant(P<0.05);and between the other two groups ,there were not significantly different on the left ventricular end-diastolic diameter,left ventricular systolic diameter,left ventricular ejection fraction and the mortality(P>0.05).Conclusion:The increased rate is a predictor of death in the patients of acute myocardial infarction,and it is worthy to attract attention on the clinical.