论文部分内容阅读
目的:探讨急性心肌梗死(AMI)急诊经皮冠状动脉介入治疗(PCI)术后无复流的危险因素。方法:选取从2015年7月至2016年7月漯河市第六人民医院急诊PCI治疗90例AMI患者,分为对照组(术后冠脉灌注良好)与观察组(术后冠脉无复流),各45例,对比两组临床资料,分析术后无复流危险因素。结果:logistics回归分析显示,Killip分级>I级、糖尿病、TIMI血流0级是影响急诊PCI术后无复流危险因素。结论:糖尿病史、术前心功能以及冠脉血流是对急诊PCI术后无复流产生影响的主要危险因素。
Objective: To investigate the risk factors for no-reflow after acute coronary intervention (PCI) in acute myocardial infarction (AMI). Methods: From July 2015 to July 2016, 90 patients with acute myocardial infarction (AMI) treated by emergency PCI in Luohe No.6 People’s Hospital were divided into control group (postoperative coronary perfusion is good) and observation group (postoperative coronary no-reflow ), 45 cases each. The clinical data of two groups were compared and the risk factors of postoperative no-reflow were analyzed. Results: Logistic regression analysis showed that Killip classification> grade I, diabetes mellitus, and TIMI grade 0 were risk factors for no-reflow after PCI. Conclusion: The history of diabetes mellitus, preoperative cardiac function and coronary blood flow are the major risk factors for no-reflow after PCI.