临床合理用药杂志
臨床閤理用藥雜誌
림상합리용약잡지
Chinese Journal of Clinical Rational Drug Use
2015年
33期
1-2
,共2页
心肌梗死%休克,心源性%危险因素
心肌梗死%休剋,心源性%危險因素
심기경사%휴극,심원성%위험인소
Myocardial infarction%Shock,cardiogenic%Risk factors
目的：探讨急性心肌梗死（AMI）并发心源性休克（CGS）的危险因素。方法选取2013年9月—2015年2月永平县人民医院收治的 AMI 并发 CGS 患者48例作为研究组，另选取同期永平县人民医院收治的 AMI 患者48例作为对照组。观察两组患者的临床资料。结果两组患者性别、年龄、冠脉 B、C 型病变发生率、回旋支、右冠脉血管病变发生率、饮酒率比较，差异无统计学意义（P ＞0.05）；研究组患者心率、心肌肌钙蛋白 I（c - TnI）、肌酸激酶同工酶（CK - MB）、B 型钠尿肽水平、前降支血管病变发生率、多支血管病变发生率、糖尿病史、心房纤颤、传导阻滞、心律失常发生率及吸烟率高于对照组，左心室内径大于对照组，收缩压、舒张压、左心室射血分数、冠脉 A 型病变发生率、单支血管病变发生率低于对照组，差异有统计学意义（ P ＜0.05）。结论心率、血压、c -TnI、CK - MB、B 型钠尿肽、左心室内径、左心室射血分数、冠脉 A 型病变、前降支血管病变、单、多支血管病变、糖尿病史、心房纤颤、传导阻滞、心律失常，吸烟史均为诱发 AMI 并发 CGS 的危险因素。
目的：探討急性心肌梗死（AMI）併髮心源性休剋（CGS）的危險因素。方法選取2013年9月—2015年2月永平縣人民醫院收治的 AMI 併髮 CGS 患者48例作為研究組，另選取同期永平縣人民醫院收治的 AMI 患者48例作為對照組。觀察兩組患者的臨床資料。結果兩組患者性彆、年齡、冠脈 B、C 型病變髮生率、迴鏇支、右冠脈血管病變髮生率、飲酒率比較，差異無統計學意義（P ＞0.05）；研究組患者心率、心肌肌鈣蛋白 I（c - TnI）、肌痠激酶同工酶（CK - MB）、B 型鈉尿肽水平、前降支血管病變髮生率、多支血管病變髮生率、糖尿病史、心房纖顫、傳導阻滯、心律失常髮生率及吸煙率高于對照組，左心室內徑大于對照組，收縮壓、舒張壓、左心室射血分數、冠脈 A 型病變髮生率、單支血管病變髮生率低于對照組，差異有統計學意義（ P ＜0.05）。結論心率、血壓、c -TnI、CK - MB、B 型鈉尿肽、左心室內徑、左心室射血分數、冠脈 A 型病變、前降支血管病變、單、多支血管病變、糖尿病史、心房纖顫、傳導阻滯、心律失常，吸煙史均為誘髮 AMI 併髮 CGS 的危險因素。
목적：탐토급성심기경사（AMI）병발심원성휴극（CGS）적위험인소。방법선취2013년9월—2015년2월영평현인민의원수치적 AMI 병발 CGS 환자48례작위연구조，령선취동기영평현인민의원수치적 AMI 환자48례작위대조조。관찰량조환자적림상자료。결과량조환자성별、년령、관맥 B、C 형병변발생솔、회선지、우관맥혈관병변발생솔、음주솔비교，차이무통계학의의（P ＞0.05）；연구조환자심솔、심기기개단백 I（c - TnI）、기산격매동공매（CK - MB）、B 형납뇨태수평、전강지혈관병변발생솔、다지혈관병변발생솔、당뇨병사、심방섬전、전도조체、심률실상발생솔급흡연솔고우대조조，좌심실내경대우대조조，수축압、서장압、좌심실사혈분수、관맥 A 형병변발생솔、단지혈관병변발생솔저우대조조，차이유통계학의의（ P ＜0.05）。결론심솔、혈압、c -TnI、CK - MB、B 형납뇨태、좌심실내경、좌심실사혈분수、관맥 A 형병변、전강지혈관병변、단、다지혈관병변、당뇨병사、심방섬전、전도조체、심률실상，흡연사균위유발 AMI 병발 CGS 적위험인소。
Objective To explore the analysis of risk factors of acute myocardial infarction(AMI)complicated with cardiogenic shock(CGS). Methods A total of 48 patients with AMI complicated with CGS were selected in the People's Hos-pital of Yongping County from September 2013 to February 2015 as study group,48 AMI patients were selected in the People's Hospital of Yongping County from September 2013 to February 2015 as control group. Clinical data between the two groups were compared. Results Age,sex,incidence of coronary artery type B and C lesions,incidence of cumflex artery and right coro-nary artery vascular lesions,drinking rate showed no significant differences between the two groups(P > 0. 05);heart rate, cardiac troponin I(cTnI),creatine kinase - MB(CK - MB),B - type natriuretic peptide levels,incidence of anterior de-scending vascular lesions,incidence of mutiple vascular lesions,diabetes history,atrial fibrillation,heart block,incidence of arrhythmia and smoking rate of study group were higher than those of control group,left ventricular dimension of study gruop was more than that of control group,systolic pressure,diastolic blood pressure,left ventricular ejection fraction,incidence of coro-nary artery type A lesion,the incidence of single vascular lesions of study gruop were lower than those of control group(P <0. 05). Conclusion Heart rate,blood pressure,cTnI,CK - MB,B - type natriuretic peptide,left ventricular dimension, coronary artery type A lesion,anterior descending vascular lesions,single and mutiple vascular lesions,etes history,atrial fi-brillation,block,arrhythmia,smoking history were induced by a risk factor for AMI complicated by CGS.
