急性心肌梗死并发严重心律失常影响因素分析.docVIP

急性心肌梗死并发严重心律失常影响因素分析 　　摘 要 目的：探讨急性心肌梗死并发严重心律失常的影响因素。方法：选择急性心肌梗死患者127例，根据是否并发严重心律失常分为观察组43例和对照组84例，回顾性分析两组患者的临床资料。结果：两组在发病年龄、性别、病程、入院时收缩压、Killip分级Ⅱ级、白细胞、中性粒细胞、hs-CRP、LVEF及前壁梗死等方面差异均有统计学意义（P0.05）；多因素 logistic 回归分析结果显示，除性别、LVEF和前壁梗死外，其他指标均是急性心肌梗死并发严重心律失常的影响因素。结论：临床上对急性心肌梗死患者救治时，应注意警惕梗死后发生严重心律失常的危险因素，积极采取有效预防和应对措施，以降低急性心肌梗死患者的病死率，改善其预后。 　　关键词 急性心肌梗死 严重心律失常 影响因素 　　中图分类号： R542.22 文献标识码：A 文章编号：1006-1533（2017）09-0036-03 　　Analysis of the impact factors of serious arrhythmia in acute myocardial infarction 　　WANG Zhongyang1， WANG Qinqin2（1. Department of Cardiology， Central Hospital of Pingyu county， Henan Province， Zhumadian 463400， China； 2. The Third Psychiatric Ward， The Second People’s Hospital of Zhumadian City， Zhumadian 463000， China） 　　ABSTRACT Objective： To explore the impact factors of serious arrhythmia in acute myocardial infarction. Methods： One hundred and twenty-seven cases of patients with acute myocardial infarction were selected and divided into an observation group （n=43， with serious arrhythmia） and a control group （n=84， without serious arrhythmia）. The clinical data from these cases were retrospectively analyzed. Results： There were significant differences in age of onset， sex， course of disease， systolic pressure at hospitalization， Killip classification， leucocyte and neutrophil count， hs-CRP and LVEF levels and anterior infarction in the two groups （P0.05）. Multiple regression analysis showed that the other indexes were the impact factors of serious arrhythmia in acute myocardial infarction except sex， LVEF level and anterior infarction. Conclusion： When physicians are going to rescue patients with acute myocardial infarction in clinic， they must pay attention to being wary of the risk factors for serious arrhythmia after infarction and take effective and positive measures for prevention so as to reduce the mortality of patients with acute myocardial infarction and improve their prognosis. 　　KEy WORDS acute myocardial infarction； serious arrh