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| 影响急性ST段抬高型心肌梗死住院病死率因素分析 |
| Analysis of the Factors to Influence the Hospital Mortality of STEMI Patients |
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| DOI： |
| 中文关键词: 心肌梗死,急性 ST段抬高 住院期间病死率 因素 |
| 英文关键词:Acute myocardial infarction ST segment elevation In hospital mortality Factor |
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| 中文摘要: |
| 摘 要 目的：探讨急性ST段抬高型心肌梗死（STEMI）患者的住院死亡情况，分析与住院病死率相关的影响因素。方法：收集2007年9月～2010年8月潍坊市人民医院心内一科402例急性心肌梗死患者的病历资料，比较病死组与存活组患者各项指标情况异同，分析与住院病死率相关的各项影响因素。结果：STEMI患者的住院病死率为8.0%（32/402）。STEMI住院死亡患者主要特点：年龄大，左室排血功能（LVEF）低， Killip分级高，肾功能不全，休克的发生率高，β-受体阻断药使用率低，接受经皮冠状动脉介入治疗率低。Binary logistic多元回归分析显示高龄、Killip分级高、β-受体阻断药使用率低是STEMI患者住院病死率的独立危险因素。结论：高龄、心功能Killip分级高、β-受体阻断药使用率对STEMI患者的住院期间病死率具有显著影响。 |
| 英文摘要: |
| ABSTRACT Objective:To investigate the hospital mortality of STEMI patients, and analyze its related risk factors. Method:The data of 402 STEMI patients who were admitted in Weifang People’s Hospital from September 2007 to August 2010 were collected. The various factors that were associated with the in hospital fatality rate were retrospectively analyzed. A statistical analysis was performed with SPSS version 16.0. Result:The in hospital mortality of STEMI was 8.0％(32/402). Its main characteristics included elder age, cardiac insufficiency (low LVEF), kidney insufficiency, shock, less use of β-blocker and less interference therapy with PCI procedure. The logistic regression analysis revealed that age, high Killip classification and low use of β-blocker were independent hazardous factors of the in hospital mortality of STEMI patients. Conclusion:Age, high Killip classification, less use of β-blocker were the significant factors to affect the in hospital fatality rate of STEMI patients. |
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