CAJ | 학술논문

目的：探讨急性心肌梗死（A M I ）病人院内死亡的独立危险因素。方法：回顾性分析我院2011～2013年在我院住院期间，确诊为A M I的患者614例的临床资料，根据A M I患者住院期间存活与否，分为死亡组（62例）和存活组（552例），用单变量和多变量Logistic回归分析所有患者的基线特征因素和治疗方法与院内死亡的关系。结果：62例死亡患者平均年龄（66.58±12.87）岁，男性39例（62.9％），院内死亡率为10.10％（62／614 ），多变量Logistic回归分析筛选出与 AMI院内死亡相关的独立危险因素为：年龄（OR＝3.065，95％ CI：1.188～7.915）、女性（OR＝2.775，95％ CI：1.200～6.419）、心率（OR＝2.836，95％ CI：1.405～5.722）、血糖（OR＝1.943，95％ CI：1.186～3.184）、Killip IV 级（OR＝1.744，95％ CI：1.211～2.513）、3支或左主干病变（OR＝3.157，95％ CI：1.244～8.014）， P＜0.05～＜0.01。结论：高龄、女性、心率增快、入院血糖水平高、KillipIV级、3支或左主干病变可能是急性心肌梗死院内死亡的独立危险因素。
목적：탐토급성심기경사（A M I ）병인원내사망적독립위험인소。방법：회고성분석아원2011～2013년재아원주원기간，학진위A M I적환자614례적림상자료，근거A M I환자주원기간존활여부，분위사망조（62례）화존활조（552례），용단변량화다변량Logistic회귀분석소유환자적기선특정인소화치료방법여원내사망적관계。결과：62례사망환자평균년령（66.58±12.87）세，남성39례（62.9％），원내사망솔위10.10％（62／614 ），다변량Logistic회귀분석사선출여 AMI원내사망상관적독립위험인소위：년령（OR＝3.065，95％ CI：1.188～7.915）、녀성（OR＝2.775，95％ CI：1.200～6.419）、심솔（OR＝2.836，95％ CI：1.405～5.722）、혈당（OR＝1.943，95％ CI：1.186～3.184）、Killip IV 급（OR＝1.744，95％ CI：1.211～2.513）、3지혹좌주간병변（OR＝3.157，95％ CI：1.244～8.014）， P＜0.05～＜0.01。결론：고령、녀성、심솔증쾌、입원혈당수평고、KillipIV급、3지혹좌주간병변가능시급성심기경사원내사망적독립위험인소。
Objective:To explore the independent risk factors of death during hospitalization in patients with acute myocardial infarction (AMI) .Methods :Clinical data of 614 cases ,who were diagnosed as AMI during hospitaliza‐tion in our hospital from 2011 to 2013 ,were retrospectively analyzed .According to AMI patients'survival or not during hospitalization ,they were divided into death group (n=62) and survival group (n=552) ,single and multi-variable Logistic regression analysis were used to analyze the relationship among baseline feature factors and thera‐peutic methods of all patients and hospital mortality .Results:The mean age was (66.58 ± 12.87) years and there were 39 males (62.9% ) among the 62 dead patients .Hospital mortality was 10.10% (62/614) .Multi‐variable Lo‐gistic regression analysis screened following factor were independent risk factors related to AMI hospital mortality :age (OR= 3.065 ,95% CI:1.188~ 7.915) ,female (OR= 2.775 ,95% CI :1.200~ 6.419) ,heart rate (OR=2.836 ,95% CI:1.405~ 5.722) ,blood glucose (OR = 1.943 ,95% CI :1.186 ~ 3.184) ,Killip class IV (OR=1.744 ,95% CI:1.211~2.513) and left main or triple -vessel coronary disease (OR= 3.157 ,95% CI :1.244 -8.014) . P < 0.05 ~ < 0.01 .Conclusion : Advanced age ,female ,rapid heart rate ,elevated blood glucose level at hospitalization ,Killip class IV and left main or triple‐vessel coronary disease may be independent risk factors of death during hospitalization in patients with acute myocardial infarction .