AMI患者PCI术后再发的危险因素分析

目的:探讨急性心肌梗死(Acute myocardial infarction,AMI)患者经皮冠状动脉介入治疗(Percutaneous Coronary Intervention,PCI)术后再发的危险因素,并分析其观察要点.方法:选择2018年1月至2019年3月在我院接受PCI治疗的185例AMI患者进行研究....

Analysis of risk factors of recurrence after PCI in AMI patients

Objective:To explore the risk factors of recurrence after PCI in AMI patients and analyze the observation points.Methods:185 AMI patients who received PCI Treatment in our hospital from January 2018 to March 2019 were selected for the study.All patients were followed up for 12 months to record the recurrence after PCI.General data such as gender and age were collected to analyze the risk factors of recurrence after PCI.Results:Of 185 patients,30(16.22%)had recurrence.Age(OR=1.516,95%CI=1.231~1.794),body mass index(BMI)893,95%CI=1.534~2.558),history of diabetes mellitus(OR=1.682,95%CI=1.343~2.095),multivessel disease(OR=1.557,95%CI=1.204~1.979),preoperative Killip grade II~IV(OR=1.651,95%CI=1.203~2.394),stent length(OR=1.527,95%CI=1.194~1.858)and stent number(OR=1.927,95%CI=1.691~2.842)were the risk factors for recurrence after PCI in AMI patients factor.Medication compliance(OR=0.523,95%CI=0.233~0.747)and stent diameter(OR=0.412,95%CI=0.288~0.617)were protective factors(P<0.05).Conclusion:The recurrence of PCI after AMI patients is related to the patient's age,BMI index,diabetes history and other factors.Clinically,positive preventive measures should be taken against the above factors to reduce the risk of postoperative recurrence.