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STEMI患者入院血糖水平对急诊经皮冠状动脉介入治疗后TIMI帧数的影响
Effect of Admission Blood Glucose on TIMI Frame Count after Emergency Percutaneous Coronary Intervention in STEMI Patients
【摘要】 目的:探讨行急诊PCI(pPCI)的ST段抬高型心肌梗死(STEMI)患者入院血糖水平与冠脉血运重建血流TIMI帧数(TFC)之间的关系。方法:选取2015年1月-2017年6月本院收治的行pPCI的STEMI患者188例,根据入院血糖水平将其分为高血糖组(n=65)和非高血糖组(n=123)。比较两组一般资料及冠心病危险因素;分析冠脉血管病变特征及介入治疗情况、TFC与入院血糖水平的相关关系,明确影响TFC的危险因素。结果:高血糖组中年龄、糖尿病患者比例均高于非高血糖组(P<0.05);高血糖组GRACE评分、术中无复流比例、术后TFC均高于非高血糖组,差异均有统计学意义(P<0.05);Person相关分析显示,无论是否既往有糖尿病病史,TFC与入院血糖水平均呈正相关(P<0.05);多元回归分析显示,入院血糖水平是TFC的独立预测因子(P<0.05)。结论:入院血糖水平是STEMI患者的犯罪血管PCI术后高TFC独立预测因子。
【Abstract】 Objective:To investigate the relationship between blood glucose level and TIMI frame count(TFC)of coronary revascularization in patients with ST-segment elevation myocardial infarction(STEMI)undergoing emergency PCI(pPCI).Method:A total of 188 STEMI patients for pPCI from January 2015 to June 2017 in our hospital were selected,according to admitted blood glucose levels,they were divided into hyperglycemic groups(n=65)and non-hyperglycemic groups(n=123).The general data and coronary heart disease risk factors of two groups were compared,the characteristics of coronary vascular lesions and interventional therapy,and the correlation between TFC and admitted blood glucose levels were analyzed,and the risk factors affecting TFC were analyzed.Result:The proportion of age and diabetes mellitus in hyperglycemia group were higher than those of non-hyperglycemia group(P<0.05).The GRACE score,intraoperative no-reflow ratio and postoperative TFC in hyperglycemia group were higher than those of non-hyperglycemia group(P<0.05).Person analysis shows that whether or not there is a history of diabetes,TFC was positively correlated with admitted blood glucose level(P<0.05).Multivariate regression analysis showed that admission blood glucose level was an independent predictor of TFC(P<0.05).Conclusion:Admission blood glucose is an independent predictor of high TFC in STEMI patients after PCI.
- 【文献出处】 中国医学创新 ,Medical Innovation of China , 编辑部邮箱 ,2019年09期
- 【分类号】R542.22
- 【下载频次】42