摘要
目的调查分析影响急性心肌梗死(acute myocardial infarction,AMI)PCI术中心室纤颤患者预后的危险因素,并探究其护理对策。方法对2018年12月-2019年12月收治的60例急性心肌梗死患者进行回顾性分析,患者入院后均进行PCI术治疗,术中发生室颤,对患者随访1年,按照患者术后1年内是否发生心血管不良事件分为预后不良组(n=15)和预后良好组(n=45),对比患者一般资料和疾病相关资料,分析运用单因素和多因素Logistic回归分析影响患者预后的危险因素,并制定相应的护理对策。结果60例患者随访期内有15例患者发生心血管不良事件,发生率为25.00%;单因素分析年龄、高血压史、糖尿病史、高脂血症、高尿酸血症、发病到实施PCI时间和疾病自护能力评分与患者预后有显著相关性(P<0.05);多因素Logistic回归分析显示,患者年龄、糖尿病、高尿酸血症、发病到实施PCI时间和疾病自护能力均是影响AMI患者PCI术后预后的独立性危险因素。结论影响AMI患者PCI术后预后的危险因素较多,临床中应该针对高危因素对患者进行针对性护理干预,以改善患者预后。
Objective To investigate and analyze the risk factors influencing the prognosis of patients with acute ventricular fibrillation after PCI in acute myocardial infarction,and explore their nursing strategies.Methods A retrospective analysis of 60 patients with acute myocardial infarction admitted in our hospital from December 2018 to December 2019.All patients were treated with PCI after admission.Ventricular fibrillation occurred during the operation.The patients were followed up for 1 year according to Whether patients had cardiovascular adverse events within one year after surgery were divided into a poor prognosis group(n=15)and a good prognosis group(n=45).The general data of the patients and disease-related data were compared,and univariate and multivariate logistic regression analysis was used Risk factors that affect the prognosis of patients and formulate corresponding nursing strategies.Results During the follow-up period of 60 patients,15 patients had adverse cardiovascular events,the incidence rate was 25.00%;univariate analysis of age,history of hypertension,diabetes,hyperlipidemia,hyperuricemia,onset to PCI Time and disease self-care ability score were significantly correlated with patient prognosis(P<0.05);multivariate logistic regression analysis showed that the patient′s age,diabetes,hyperuricemia,time from onset to PCI and disease self-care ability were all affected Independent risk factors for prognosis of patients with AMI after PCI.Conclusions There are many risk factors that affect the prognosis of patients with AMI after PCI.In clinical practice,targeted nursing intervention should be conducted for patients with high-risk factors to improve the prognosis of patients.
作者
汤诗卉
TANG Shihui(Department of Cardiology,Wuhan First Hospital,Wuhan 430030,Hubei Province,China)
出处
《航空航天医学杂志》
2022年第10期1227-1230,共4页
Journal of Aerospace medicine
关键词
急性心肌梗死
PCI术
心室纤颤
危险因素
护理干预
acute myocardial infarction
PCI
ventricular fibrillation
risk factors
nursing intervention
