|
|
|
| Analysis of the Influence Factors of Ischemic Re-Perfusion Injury in Direct PCI Therapy in Patients With Acute Myocardial Infarction |
| Tao Gongda |
| Emergency Department, Nanyang Nanshi Hospital, Nanyang 473000,China |
|
|
|
|
Abstract Objective To investigate the influence factors of ischemic re-perfusion injury（MIRI） in patients with acute myocardial infarction（AMI） directly through coronary artery intervention therapy（PCI）, with the aim of further improving the effect of PCI treatment.Methods Retrospective analysis of clinical data on 100 AMI patients who received PCI,included MIRI patients in the MIRI group and the remaining patients in the non-MIRI group.Comparing the two groups of general data（age, medical history, infarction site, BMI index, etc.）, all possible risk factors for the occurrence of MIRI were included in the variables and assigned to them, and the factors that could have caused mirI influences in PCI were obtained by non-conditional logistic regression analysis.Results MirI 58 cases occurred in 100 patients, accounting for 58.00%（58/100）, and no MIRI42 cases, accounting for 42.00%（42/100）.58 cases of MIRI occurred were included in the MIRI group, 42 cases of non-MIRI occurred were included in the non-MIRI group, and the possible influence factors were incorporated into the variables and assigned to them, and the results of the non-conditional logistic regression analysis showed that the patient's chest pain to the IRA opened too early, hypotension and multiple lesions before refilling were the risk factors for the occurrence of MIRI in PCI（OR>1, P<0.05）.Conclusion Chest pain to IRA open edgy early, re-injection before low blood pressure and multiple lesions may increase the risk of MIRI in AMI patients PCI, in emergency PCI treatment need to control the above risk factors, in order to obtain the ideal treatment and prognosis effect.
|
|
Received: 10 March 2020
|
|
|
|
|
|
[1] 吴琳,李雪,秦臻臻.急诊电子预检分诊系统改善急性心肌梗死患者PCI术后继发心肌缺血性灌注损伤的研究[J].中国急救复苏与灾害医学杂志,2018,13(5):426-428.
[2] 刘奕婷,王巍,时景璞.PCI术后急性心肌梗死患者再发影响因素分析[J].中国公共卫生,2016,32(4):558-562.
[3] 黄晖,张国山,马芸芸,等.急诊PCI治疗急性心肌梗死患者的预后影响因素分析[J].宁夏医科大学学报,2017,39(12):1404-1407.
[4] 中华医学会心血管病学分会.急性心肌梗死诊断和治疗指南[J].中华心血管病杂志,2001,29(12):710-725.
[5] 张英,王亚柱,刘静怡,等.直接经皮冠状动脉介入治疗发生缺血再灌注损伤的预测因素与预后影响[J].心肺血管病杂志,2019,38(8):821-825.
[6] 余平,李叶子.急性ST段抬高型心肌梗死患者早期PCI术后继发心肌缺血再灌注损伤危险因素分析[J].中国医学前沿杂志:电子版,2018,10(3):89-93. |
| [1] |
. [J]. journal1, 2021, 41(5): 95-95. |
| [2] |
. [J]. journal1, 2021, 41(2): 114-115. |
| [3] |
. [J]. journal1, 2021, 41(2): 88-89. |
| [4] |
Gong Wuqing, Peng Houxue, Chen Jianguo, Min Ming, Peng Shusheng, Luo Jun. Spatial Distribution Trend Novel Coronavirus Pneumonia Epidemic in China and Analysis of Its Related Factors[J]. journal1, 2021, 41(1): 33-36. |
| [5] |
. [J]. journal1, 2021, 41(1): 50-50. |
| [6] |
. [J]. journal1, 2021, 41(1): 70-71. |
|
|
|
|
2021, Vol. 41 
