标题：急性心肌梗死患者介入术后2年预后情况及影响因素分析

      作者：马兰香 1，陈颖 1，寇进 1，隋永杰 2    1.武警陕西总队医院心内科，陕西 西安 710054；2.陕西省人民医院体检中心，陕西 西安 710068

      卷次： 2022年33卷16期

      【摘要】 目的 分析急性心肌梗死(AMI)患者介入术后2年预后情况及影响因素。方法 选取2016年1月至2019年1月武警陕西总队医院心内科收治的1 200例AMI患者为调查对象，医护团队调查AMI介入术后2年再发心肌梗死概率，单因素和多因素Logistic回归分析AMI患者介入术后2年预后影响因素。结果 术后2年随访结果显示，共有效随访1 188例患者，其中458例出现再发心肌梗死，占38.55% (458/1 188)；复发组患者中，年龄>70岁、高血压病史、TG异常、LDLC异常、AMI后发生心绞痛、Killip 分级≥2级、服药依从性差、冠脉病变为靶血管病变占比明显高于未复发组，差异均有统计学意义(P<0.05)；经Logistic回归分析结果显示，高龄、有高血压史、AMI后发生心绞痛、术后服药依从性差以及Killip 分级≥2级、冠脉病变为靶血管病变是AMI介入术后2年不良预后的影响因素(P<0.05)。结论 AMI患者介入术后2年再发心肌梗死风险较高，尤其是年龄高于70岁、有高血压史、AMI后发生心绞痛、术后服药依从性差及Killip分级≥2级和冠脉病变为靶血管病变AMI患者预后更差。
      【关键词】 急性心肌梗死；介入术；复发；预后；影响因素
      【中图分类号】 R542.2+2 【文献标识码】 A 【文章编号】 1003—6350（2022）16—2048—04

Two-year prognosis of patients with acute myocardial infarction after interventional operation and itsinfluencing factors.
MA Lan-xiang 1, CHEN Ying 1, KOU Jin 1, SUI Yong-jie 2. 1. Department of Cardiology, ShaanxiArmed Police Corps Hospital, Xi'an 710054, Shaanxi, CHINA; 2. Physical Examination Center, Shaanxi Provincial People'sHospital, Xi'an 710068, Shaanxi, CHINA
【Abstract】 Objective To analyze the 2-year prognosis of patients with acute myocardial infarction (AMI) af-ter interventional operation and its influencing factors. Methods A total of 1 200 patients with AMI admitted to the De-partment of Cardiology, Shaanxi Armed Police Corps Hospital between January 2016 and January 2019 were investigat-ed to calculate the probability of recurrent myocardial infarction in 2 years after interventional operation for AMI. Uni-variate analysis and multivariate logistic regression analysis were performed to screen the influencing factors of 2-yearprognosis. Results Postoperative 2-year follow-up showed that a total of 1 188 patients completed the follow-up,and 458 patients had recurrent myocardial infarction, accounting for 38.55% (458/1 188). The proportions of patients>70 years old, patients with hypertension history, TG abnormalities, LDLC abnormalities, angina pectoris after AMI,Killip grade ≥2, poor medication compliance, and target vascular lesions in the recurrence group were significantlyhigher than those in the non-recurrence group (P<0.05). Logistic regression analysis indicated that advanced age, hyper-tension history, angina pectoris after AMI, postoperative poor medication compliance, Killip grade ≥2, and target vascu-lar lesions were influencing factors of poor prognosis of patients with AMI in 2 years after interventional operation (P<0.05). Conclusion The risk of recurrent myocardial infarction is relatively high in patients with AMI in 2 years after in-terventional operation. Patients>70 years old, patients with hypertension history, angina pectoris after AMI, poor medica-tion compliance after operation, Killip grade≥2, and target vascular lesions have worse prognosis.
      【Key words】 Acute myocardial infarction; Interventional operation; Recurrence; Prognosis; Influencing factor