血清肌酐水平对急性ST段抬高型心肌梗死患者预后的影响Effect of serum creatinine level on prognosis of patients with acute ST segment elevation myocardial infarction
张丽娥;杨翠玲;
摘要(Abstract):
目的研究血清肌酐水平对急性ST段抬高型心肌梗死(ST segment elevation myocardial infarction,STEMI)患者预后的影响。方法选择2016年1月至2018年12月于本院就诊的220例STEMI患者为研究对象,根据入院时血清肌酐水平将其分为血清肌酐升高组(≥96μmol/L,64例)和血清肌酐正常组(<96μmol/L,156例)。记录两组患者的基本临床资料、住院期间主要心血管事件发生情况和院内死亡情况。结果血清肌酐升高组心功能Killip分级≥Ⅱ级患者占比、院内死亡率和主要心血管事件发生率均显著高于血清肌酐正常组(均P <0.05)。糖尿病病史、前壁心肌梗死、脑卒中病史和血清肌酐水平升高均是STEMI患者院内死亡的独立危险因素(均P <0.05),患者的年龄、脑卒中病史、Killip分级≥Ⅱ级和血清肌酐水平升高均是STEMI患者发生院内主要心血管事件的独立危险因素(均P <0.05)。结论血清肌酐水平升高与STEMI患者预后不良有关。
关键词(KeyWords): 血清肌酐;急性ST段抬高型心肌梗死;预后
基金项目(Foundation):
作者(Authors): 张丽娥;杨翠玲;
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