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目的探讨急性心肌梗死(AMI)并发心源性休克(CGS)的危险因素。方法选取2013年9月—2015年2月永平县人民医院收治的AMI并发CGS患者48例作为研究组,另选取同期永平县人民医院收治的AMI患者48例作为对照组。观察两组患者的临床资料。结果两组患者性别、年龄、冠脉B、C型病变发生率、回旋支、右冠脉血管病变发生率、饮酒率比较,差异无统计学意义(P>0.05);研究组患者心率、心肌肌钙蛋白I(c-Tn I)、肌酸激酶同工酶(CK-MB)、B型钠尿肽水平、前降支血管病变发生率、多支血管病变发生率、糖尿病史、心房纤颤、传导阻滞、心律失常发生率及吸烟率高于对照组,左心室内径大于对照组,收缩压、舒张压、左心室射血分数、冠脉A型病变发生率、单支血管病变发生率低于对照组,差异有统计学意义(P<0.05)。结论心率、血压、cTn I、CK-MB、B型钠尿肽、左心室内径、左心室射血分数、冠脉A型病变、前降支血管病变、单、多支血管病变、糖尿病史、心房纤颤、传导阻滞、心律失常,吸烟史均为诱发AMI并发CGS的危险因素。
Objective To investigate the risk factors of acute myocardial infarction (AMI) complicated with cardiogenic shock (CGS). Methods 48 patients with AMI complicated with CGS admitted from Yongping People’s Hospital from September 2013 to February 2015 were selected as the study group. Another 48 patients with AMI admitted to Yongping People’s Hospital during the same period were selected as the control group. The clinical data of two groups were observed. Results There were no significant differences in sex, age, incidence of coronary artery B, C lesions, circumflex artery, right coronary artery disease and drinking rate between the two groups (P> 0.05). The heart rate, C-Tn I, CK-MB, B-type natriuretic peptide, incidence of anterior descending coronary artery disease, incidence of multivessel disease, history of diabetes, atrial fibrillation Tremor, block, the incidence of arrhythmia and smoking rate was higher than the control group, left ventricular diameter larger than the control group, systolic blood pressure, diastolic blood pressure, left ventricular ejection fraction, the incidence of coronary artery disease A, single vessel disease The rate was lower than the control group, the difference was statistically significant (P <0.05). Conclusions Heart rate, blood pressure, cTn I, CK-MB, B-type natriuretic peptide, left ventricular diameter, left ventricular ejection fraction, coronary artery disease, anterior descending coronary artery disease, Atrial fibrillation, conduction block, arrhythmia, smoking history are all risk factors for AMI complicated by CGS.