急性冠脉综合征患者心源性猝死的相关因素分析

目的探讨急性冠状动脉综合征患者心源性猝死（SCD）的相关因素。方法回顾性分析江苏省金坛市人民医院80例急性冠状动脉综合征SCD患者以及85例江苏省金坛市人民医院心内科同期住院患者作为非SCD病例对照,分析其临床资料特征,探讨发生SCD的相关因素。结果低射血分数（EF）值、心肺复苏术（CPR）术后、脑利钠肽（BNP）、肾功能不全、持续性高血压、持续性心律失常、情绪刺激、过度劳累在两组患者中分布的差异有统计学意义（P〈0．05）;在其他条件等同的情况下,CPR术后、低EF值、持续性心律失常、持续性高血压、过度劳累、情绪刺激等对患者有影响（P〈0．05）;尤其是CPR术后（OR值：11．48）、低EF值（OR值：9．53）、持续性心律失常（OR值：6．87）对患者有显著影响（P〈0．05）。结论急性冠状动脉综合征患者发生SCD的因素有很多,临床上应密切观察急性冠状动脉综合征患者的临床症状,及时改善不利因素,降低SCD的发生率。

Related factors analysis of sudden cardiac death in patients with acute coronary syndromes

Objective To study the related factors analysis of sudden cardiac death in patients with acute coronary syndromes. Methods 80 cases of acute coronary syndrome and sudden cardiac death patients hospitalized patients and 85 cases of department of cardiology as the SCD case-control of Jintan City People＇s Hospital with the same period were retrospective ana- lyzed, clinical data of the characteristics were analyzed, the related factors of sudden cardiac death was explored. Results The low EF value, CPR, BNP, renal insufficiency, postoperative hots hypertension, arrhythmia, emotional stimuli, overwork in the differences in the distribution of two groups of patients was statistically significant （P 〈 0.05）; in the case of other equal conditions, CPR, low EF value, postoperative hots cardiac arrhythmias, hypertension, overwork, emotional stimuli affected patients （P 〈 0.05）; especially the CPR （OR value： 11.48）, postoperative low EF value （OR value： 9.53）, durative arrhythmia （OR val- ue： 6.87） had a significant influence on patients （P 〈 0.05）. Conclusion The factors of sudden cardiac death in patients with acute coronary syndrome are many, and it should be closely observed clinically in patients with acute coronary syndrome in the clinical symptoms, to improve the unfavorable factors in time, reduce the incidence of sudden cardiac death.