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目的探讨急性ST段抬高型心肌梗死(STEMI)并发心源性休克(CS)的相关危险因素。方法抽选2015年5月至2016年6月我院心血管内科接诊收治的108例STEMI患者,分为CS组(n=36)和非CS组(n=72),对相关指标进行单因素和多因素回顾分析总结危险因素。结果多因素回归分析显示糖尿病史、陈旧性脑梗死病史、心室颤动/心动过速、心肌梗死部位≥2个、LVEF<40%是独立危险因素(P<0.05,χ~2=1.825)。结论应当尽早评估STEMI患者的危险因素,及时发现CS高危患者,从而及时采取干预治疗。
Objective To investigate the risk factors associated with acute ST-segment elevation myocardial infarction (STEMI) complicated with cardiogenic shock (CS). Methods A total of 108 STEMI patients admitted to our hospital from May 2015 to June 2016 were divided into two groups: CS group (n = 36) and non-CS group (n = 72) Factors and multivariate analysis retrospective analysis of risk factors. Results Multivariate regression analysis showed that there was a history of diabetes mellitus, a history of old cerebral infarction, ventricular fibrillation / tachycardia and myocardial infarction≥2. LVEF <40% was an independent risk factor (P <0.05, χ ~ 2 = 1.825). Conclusions The risk factors of STEMI should be evaluated as soon as possible and the high risk patients should be found in time so as to prompt intervention.