| 心率和血压对前壁ST段抬高型心肌梗死病人死亡率的影响 |
| |
| 引用本文： | 贾庆哲,朱铁兵,王连生,李春坚,杨志健.心率和血压对前壁ST段抬高型心肌梗死病人死亡率的影响[J].中医药研究,2014(2):142-144. |
| |
| 作者姓名： | 贾庆哲 朱铁兵 王连生 李春坚 杨志健 |
| |
| 作者单位： | 南京医科大学第一附属医院,210029 |
| |
| 摘 要： | 目的 探讨血压和心率（超过85次/min）对前壁ST段抬高心肌梗死（STEMI）病人死亡率的影响.方法 研究对象为我院冠心病监护病房（CCU）接受治疗的100例病人.测量病人心率、血压水平.心率为病人入CCU基线心率和治疗后1 h心率的平均值,并采用心电图进行记录.血压为病人休息5 min之后在卧位测量的血压水平.结果 存活前壁STEMI病人心率为86.88次/min＆#177;14.92次/min,死亡病人则为108.15次/min＆#177;25.36次/min,两组比较差异有统计学意义（P＆lt;0.01）;心率超过85次/min可明显影响院内死亡率（P＜0.01）;死亡病人的收缩压为128.65 mmHg＆#177;21.56 mmHg,存活病人的收缩压则为140.58 mmHg＆#177;20.87 mmHg,存活者收缩压水平为较高（P＜0.05）,而两组舒张压水平差异无统计学意义.结论 心率和血压可作为前壁STEMI病人死亡率的重要预测因子.
|
| 关 键 词： | ST段抬高型心肌梗死 心率 血压 死亡率 |
The Influence of Heart Rate and Blood Pressure on Mortality in Patients with Anterior Wall ST-elevation Myocardial Infarction |
| |
| Institution: | Jia Qingzhe, Zhu Tiebing, Wang Liansheng, et al Department of Cardiology,First Affiliated Hospital,Nanjing Medical University (Nanjing 210029) |
| |
| Abstract: | Objective To investigate the heart rate C〉85 beats per minute） and blood pressure,on the mortality in patients with anterior wall ST - elevation myocardial infarction （STEMI）. Methods One hundred patients were treated in coronary care unit. Heart rate was calculated. The mean heart at first 1 hour after admission as baseline and heart rate at last hour after treatment were recorded by electrocardiogram. Blood pressure levels were measured after 5 minutes of rest. The data were analyzed by SPSS 12.0. Results Heart rate （〉85/min） could effect the hospital mortality （P〈0.01）. Systolic blood pressure levels were higher in the survivors （P〈0.05）. Conclusion Increased heart rate and blood pressure,at admission were significant predictors of mortality in patients with an- terior wall STEMI. |
| |
| Keywords: | ST- elevation myocardial infarction heart rate blood pressure mortality |
| 本文献已被 维普 等数据库收录！ |
|
