多个危险因素聚集与急性心肌梗死患者出院结局不良的关系分析.docVIP

精品论文 参考文献 多个危险因素聚集与急性心肌梗死患者出院结局不良的关系分析 周果 　　（綦江区人民医院心血管内科 重庆 401420） 　　【摘要】 目的：探讨多个危险因素聚集与急性心肌梗死患者出院结局不良的关系。方法：回顾性分析急性心肌梗死患者546例的临床资料，根据出院结局分为两组，结局良好为对照组，结局不良为观察组。结果：观察组年龄、吸烟率、合并高血脂症发生率、合并高血压症发生率、合并糖尿病发生率、饮酒率、纤维蛋白原均明显高于对照组（P＜0.05）。年龄、吸烟、高血脂症、高血压症、糖尿病、饮酒、纤维蛋白原均是急性心肌梗死患者出院结局不良的危险因素。结论：危险因素聚集数目越多，急性心肌梗死患者出院结局不良的风险越高。 　　【关键词】 危险因素；急性心肌梗死；结局不良 　　【中图分类号】R542.2 【文献标识码】A 【文章编号】2095-1752（2016）10-0339-02 　　Relationship analysis of multiple risk factors and adverse outcome of hospital discharge in patients with acute myocardial infarction 　　Zhou GuoInternal Medicine-Cardiovascular Department, Peoples Hospital, Qijiang District, 401420,China 　　【Abstract】Objective To investigate relationship of multiple risk factors and adverse outcome of hospital discharge in patients with acute myocardial infarction. Methods Clinical data of 546 patients with acute myocardial infarction were retrospectively analyzed. According to hospital discharge outcome, patients were divided into two groups.Good outcome as control group,while bad outcome as observation group. Results Age, smoking rate, incidence of hyperlipidemia, incidence of hypertension, incidence of diabetes, alcohol consumption rate, fibrinogen in observation group were higher than control group(Plt;0.05). Age, smoking, hyperlipidemia, hypertension, diabetes, alcohol consumption, fibrinogen were risk factors of adverse outcome of hospital discharge in patients with acute myocardial infarction. Conclusion The more risk factors, the more risk factors of adverse outcome of hospital discharge in patients with acute myocardial infarction. 　　【Key words】Risk factor; Acute myocardial infarction; Adverse outcome 　　急性心肌梗死是临床常见病症，高发于老年人［1］，即便患者治疗出院后，仍有不良结局发生的风险，这与诸多因素相关，为了探讨这些因素的影响程度，开展了此次研究，现报道如下。 　　1.资料与方法 　　1.1 资料 　　本院2011年10月～2013年12月诊治的急性心肌梗死患者546例，均符合临床诊断标准［2］，男373例，女173例，年龄为51～76（63.8plusmn;8.0）岁，吸烟156例，合并高血脂症136例，合并高血压症116例，合并糖尿病103例，饮酒138例，纤维蛋白原为2.54～4.02（2.89plusmn;0.73）g/L，发病到治疗时间为2.5～11.8（6.4