目的：分析老年急性心肌梗死（AMI）伴代谢综合征（MS）患者院内死亡的危险因素。方法选取AMI伴MS老年患者124例，其中病死34例，存活90例，回顾性分析所有患者的实验室化验指标、临床特征及心血管并发症的情况，对患者病死率的相关因素进行分析探究。结果患者年龄、肾功能不全、糖尿病史、心力衰竭、脑卒中病史、贫血、血红蛋白降低、并发心源性休克等因素都会导致AMI伴MS老年患者死亡，其中存活组患者的心力衰竭及肾功能不全分别占15.56%、25.56%；病死组分别占67.64%、64.71%，差异具有统计学意义（P<0.05）。患者入院时肾小球滤过率（eGFR）、同工酶及肌酸激酶的峰值水平也会影响AMI伴MS老年患者的死亡率。结论老年急性心肌梗死伴代谢综合征患者院内死亡主要受患者年龄、MI病史、糖尿病及eGFR与酶的水平的影响。%Objective To explore risk factors of elderly patients with acute myocardial infarction (AMI) combined with metabolic syndrome (MS) through clinical trials for hospital mortality.Methods 124 AMI elderly patients combined with MS in our hospital, in which 34 cases died, 90 cases survived retrospectively analyzed laboratory testing indicators for all patients, clinical characteristics and cardiovascular complications cases, and the mortality related factors were analyzed.Results The patient's age, renal insufifciency, diabetes mellitus, heart failure, history of stroke, anemia, hemoglobin decreased, complicated by cardiogenic shock and other factors can lead to the death of elderly patients with AMI with MS, The survival of groups of patients with heart failure and renal dysfunction accounted for 15.56%, 25.56%; in death group accounted for 67.64%, 64.71%, and there was signiifcant difference. The admission of patients with renal Small ball ifltration rate (eGFR), and creatine kinase isoenzyme peak levels also affect AMI mortality in elderly patients with MS.Conclusion Elderly patients with acute myocardial infarction in patients combined with metabolic syndrome with age-hospital mortality is mainly affected, MI history, the impact of diabetes and eGFR and enzyme levels.
展开▼
