·37JOURNALOFRAREANDUNCOMMONDISEASES,AUG.2023,Vol.30,No.8,TotalNo.169【第一作者】奚亮亮，男，医师，主要研究方向：急诊科常见疾病如中毒、休克、心肺复苏、心脑血管疾病等。E-mail：sparek@163.com【通讯作者】奚亮亮·论著·急性心肌梗死患者经皮冠状动脉介入治疗后并发不良心血管事件的危险因素分析奚亮亮*天津市宝坻区人民医院急诊科(天津301800)【摘要】目的探究并分析急性心肌梗死(AcuteMyocardialInfarction，AMI)患者经皮冠状动脉介入(PercutaneousCoronaryIntervention，PCI)治疗后并发不良心血管事件(MajorAdverseCardiovascularEvents，MACE)的危险因素。方法选2021.12至2022.05，行PCI治疗的AMI患者76例，回顾临床资料、实验室数据等。按并发MACE有无，分成对照组(无，n=67)和观察组(有，n=9)，比较两组临床资料、并行单因素和多因素回归分析，旨在探究MACE的危险因素。结果两组患者的性别、吸烟、饮酒、糖尿病、cTnI水平相比，无突出差异(P>0.05)；而两组患者年龄、高血压、APACHEⅡ评分、TIMI评分及NT-proBNP水平相比，有突出差异(P<0.05)。经Logistic回归分析显示，AMIPCI治疗后并发MACE的危险因素有年龄≥60岁、高血压、APACHEⅡ评分≥9分、TIMI评分≥5.5分、以及NT-proBNP≥1631.46μg/L(P<0.05)。结论AMI患者PCI治疗后并发MACR的危险因素因素有高龄、合并高血压、高APACHEⅡ评分、高TIMI评分及高NT-proBNP。【关键词】急性心肌梗死；经皮冠状动脉介入治疗；不良心血管事件；危险因素【中图分类号】R542.2【文献标识码】ADOI:10.3969/j.issn.1009-3257.2023.08.015AnalysisofRiskFactorsforConcurrentAdverseCardiovascularEventsafterPercutaneousCoronaryInterventioninPatientswithAcuteMyocardialInfarctionXILiang-liang*.TianjinBaodiDistrictPeople'sHospitalemergencyDepartment,Tianjin301800,ChinaAbstract:ObjectiveToexploreandanalyzetheriskfactorsofMajorAdverseCardiovascularEvents(MACE)afterPercutaneousCoronaryIntervention(PCI)treatmentinpatientswithAcuteMyocardialInfarction(AMI).Methods76AMIpatientsfrom2021.12to2022.05underwentPCI,andclinicaldataandlaboratorydatawerereviewed.AccordingtothepresenceorabsenceofconcurrentMACE,dividedintocontrolgroups(no,n=67)andobservationgroups(yes,n=9),thetwoclinicaldata,parallelunivariateandmultivariateregressionanalysiswerecomparedto...
