| 影响急性心肌梗死的血运重建因素分析 |
| Alternative Title | The impact of revasclarization in the patients with Acute ST-segment elevation Myocardial Infarction
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| 罗张兴 |
| Thesis Advisor | 罗张兴
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| 2012-05-10
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| Degree Grantor | 兰州大学
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| Place of Conferral | 兰州
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| Degree Name | 硕士
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| Keyword | 心肌梗死
再灌注
经皮冠状动脉腔内介入术
延误原因
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| Abstract | 目的 分析我院近3年来急性STEMI患者的治疗现状及影响患者接受PCI治疗的影响因素。
方法 回顾性分析2009年至2011年收治的1016名STEMI患者的临床诊治资料，发病至就诊时间，根据患者接受治疗情况分急诊PCI和择期PCI两组，比较两组患者在年龄、性别、职业、吸烟、高血压病史、糖尿病史、冠心病史等方面是否存在差别，分析影响患者接受PCI治疗的影响因素。
结果 (1) 78.3%的患者发病到入院时间>12小时，其中97.6%未能进行直接PCI；（2）17.9%的患者接受了急诊PCI治疗，68.8%的患者接受了择期PCI治疗，11.6%的患者仅接受了药物治疗，溶栓的病人仅占1.6%。(3)年龄，合并糖尿病，职业及发病地点距医院的距离均是影响患者接受急诊PCI治疗的原因。
结论 患者就诊不及时和转运时间延误是导致STEMI患者不能及时血运重建的主要原因，在时间窗就诊的患者医生的因素是未行血运重建的关键因素。 |
| Other Abstract | Objective To evaluate the impact of revascularization in patients of STEMI.
Method retrospective study, enrolled 1016 patients with STEMI, and analysed the clinical data, the time onset to admit to hospital, according to treat method these Patients were divided into primary PCI and elective PCI groups, analyze are there some difference betwteen two groups in age, gender, occupation, smoking, hypertension,diabetes, coronary artery disease,etc. Evaluate the impact of revascularization in patients of STEMI.
Result （1）most patients (78.3%) delayed the time of admission to hospital, not received the primary PCI; (2)the patients of 17.9% received primary PCI, 68.8% received elective PCI; 1.6% received thrombolysis, and medications is 11.6% .（3） Age, diabetes, occupation, locality from the hospital are important reason that lead to patients could not receive primary PCI.
Conclusion the time of admission to hospital delayed is the most important reason , which lead to the patients with STEMI could not receive reperfusion timely; the impact of doctor is the critical factor that lead to patients who in time of reperfusion windows could not receive revascularization. |
| URL | 查看原文
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| Language | 中文
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| Document Type | 学位论文
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| Identifier | https://ir.lzu.edu.cn/handle/262010/222318
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| Collection | 学院待认领
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| Affiliation | 临床医学院
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Recommended Citation
GB/T 7714 |
罗张兴. 影响急性心肌梗死的血运重建因素分析[D]. 兰州. 兰州大学,2012.
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