CAJ | 학술논문

目的：评估代谢综合征（MetS）对急性心肌梗死（AMI）患者经皮冠状动脉介入治疗（PCI）后住院期间及术后12个月预后的影响。方法选择157例AMI伴MetS进行PCI的患者（ A组）及同时期的216例不合并MetS的AMI患者（ B组），分析患者住院期间及术后12个月主要心脏不良事件（ MACE）发生率。结果与B组相比，A组患者术后住院期间MACE发生率明显高于B组（7.01％vs 2.31％，P＝0.027）；12个月MACE发生率高于B组（21.7％vs 12.0％，P＝0.013）。 Cox比例风险回归模型分析结果显示，MetS为术后12个月MACE发生的预测因子（ HR＝2.65，95％CI 1.102～3.065，P＝0.002）。结论合并MetS的AMI患者PCI后住院期间及术后12个月MACE发生率高，MetS是预后不良的危险因子。
목적：평고대사종합정（MetS）대급성심기경사（AMI）환자경피관상동맥개입치료（PCI）후주원기간급술후12개월예후적영향。방법선택157례AMI반MetS진행PCI적환자（ A조）급동시기적216례불합병MetS적AMI환자（ B조），분석환자주원기간급술후12개월주요심장불량사건（ MACE）발생솔。결과여B조상비，A조환자술후주원기간MACE발생솔명현고우B조（7.01％vs 2.31％，P＝0.027）；12개월MACE발생솔고우B조（21.7％vs 12.0％，P＝0.013）。 Cox비례풍험회귀모형분석결과현시，MetS위술후12개월MACE발생적예측인자（ HR＝2.65，95％CI 1.102～3.065，P＝0.002）。결론합병MetS적AMI환자PCI후주원기간급술후12개월MACE발생솔고，MetS시예후불량적위험인자。
Objective To evaluate the effect of metabolic syndrome ( MetS) on the incidence of in-hospital and long-term major adverse cardiac events (MACE) of acute myocardial infarction (AMI) patients treated with percutane-ous coronary intervention (PCI) .Methods This was a retrospective study.From May of 2011 to September of 2013, we consecutive enrolled 157 AMI patients with MetS in the First Affiliated Hospital of China Medical University into Group A, and 216 AMI patients without MetS into the control group ( Group B) .Incidence of both in-hospital and 12 months postoperative MACE were calculated.Results Compared with Group B, the incidence of MACE in Group A was higher both during hospitalization (7.01%vs 2.31%, P=0.027) and in the 12 months postopertive period (21.7% vs 12%, P=0.013).Cox proportional hazard regression analysis showed that MetS was a predictive factor of 12-month MACE (HR=2.65, 95%CI, 1.102~3.065, P=0.002).Conclusion The incidence of MACE for AMI patients with MetS after PCI during hospitalization and 12 months postoperatively were higher.MetS was a risk factor for poor prognosis.