發(fā)布時(shí)間：2018-10-05 17:10

【摘要】：目的探討急性ST段抬高型心肌梗死(STEMI)患者經(jīng)皮冠狀動(dòng)脈介入治療(PCI)后出院死亡情況及其危險(xiǎn)因素。方法回顧性分析本院413例行急診PCI的STEMI患者的臨床資料并進(jìn)行隨訪調(diào)查,隨訪終點(diǎn)為出院后全因死亡,記錄患者出院死亡情況并分析影響出院死亡的相關(guān)因素。結(jié)果平均隨訪時(shí)間26.38±14.21月。隨訪期間共有27例死亡,43例失訪,失訪率10.4%。COX比例風(fēng)險(xiǎn)模型分析顯示,年齡≥60歲(HR=8.927,P=0.037)和Killip分級(jí)Ⅰ級(jí)(HR=2.546,P=0.034)與STEMI患者PCI術(shù)后出院死亡相關(guān)。所有隨訪患者出院后1年、2年、3年、4年的累積死亡率分別為4.9%、7.3%、7.9%、10.1%。年齡≥60歲組患者出院后1年、2年、3年、4年累積死亡率顯著高于年齡60歲組(7.7%比0.7%,11.6%比0.7%,12.7%比0.7%,16.0%比0.7%,均P0.001)。KillipⅠ級(jí)組患者出院后1年、2年、3年、4年累積死亡率也比KillipⅠ級(jí)組高(12.7%比2.5%,19.8%比3.5%,19.8%比4.4%,26.5%比5.5%,均P0.001)。結(jié)論 STEMI患者PCI術(shù)后出院死亡率仍較高。年齡≥60歲和Killip分級(jí)Ⅰ級(jí)是STEMI患者PCI術(shù)后出院死亡的獨(dú)立危險(xiǎn)因素。
[Abstract]:Objective to investigate the mortality and risk factors of patients with acute ST segment elevation myocardial infarction (STEMI) after percutaneous coronary intervention (PCI) for (PCI). Methods the clinical data of 413 STEMI patients who underwent emergency PCI were retrospectively analyzed and followed up. The end point of follow up was all death after discharge. The death status of discharged patients was recorded and the related factors affecting discharge death were analyzed. Results the mean follow-up time was 26.38 鹵14.21 months. During the follow-up period, 27 patients died and 43 patients lost their visits. The 10.4%.COX proportional risk model analysis showed that age 鈮，

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