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目的:探讨急性心肌梗死(AMI)患者的代谢危险因素并评估其累积效应对预后的影响。方法:调查260例AMI住院患者的代谢危险因素,具有三种或以上代谢危险因素的患者为A组,其余为B组,比较两组的代谢性危险因素发生率、住院病死率,一年病死率及再次心肌梗死等心性事件的发生情况。结果:A组的各种代谢危险因素发生率均明显高于B组(P<0.01);A组的Killip分级严重程度明显高于B组(P<0.01),而且新发生的恶性心律失常也明显高于B组(P<0.05)。A组再次发生心性事件率为31.4%,明显高于B组的17.4%(P<0.05)。A组的住院死亡率和一年死亡率均明显高于B组(P<0.05)。结论:代谢危险因素是影响AMI患者预后的独立危险因素,代谢危险因素越多,预后越差。
AIM: To investigate the metabolic risk factors in patients with acute myocardial infarction (AMI) and to evaluate their cumulative effects on prognosis. Methods: The metabolic risk factors of 260 AMI inpatients were investigated. Patients with three or more metabolic risk factors were in group A and the rest were in group B. The incidence of metabolic risk factors, in-hospital mortality and death in one year were compared Rate and reoccurrence of myocardial infarction and other cardiac events. Results: The incidences of various metabolic risk factors in group A were significantly higher than those in group B (P <0.01). The severity of grade Killip in group A was significantly higher than that in group B (P <0.01), and new malignant arrhythmia Was significantly higher than the B group (P <0.05). The rate of reoccurrence of cardiac events in group A was 31.4%, significantly higher than that in group B (17.4%, P <0.05). In-hospital mortality and one-year mortality in group A were significantly higher than those in group B (P <0.05). Conclusion: Metabolic risk factors are independent risk factors affecting the prognosis of patients with AMI. The more the metabolic risk factors, the worse the prognosis.