周江 张敏 吴研 尚香玉

    [摘要] 目的 探討冠状动脉介入治疗(PCI)冠心病的短期死亡风险危险因素。 方法 选取我院2020年1—9月收治的冠心病患者130例，所有患者均经PCI术治疗。根据患者术后6个月内的死亡情况，将其分成生存组、死亡组。比较两组临床特征，包括性别、年龄、体质量指数、冠脉病变部位、家族史、高血压、高尿酸血症、糖尿病、吸烟史、心源性休克、冠心病类型，分析冠心病患者PCI术后短期死亡与临床特征的关系。经Logistic回归模型分析PCI术后短期死亡的危险因素。 结果 在130例患者中，有24例(18.46%)在术后6个月死亡，有106例(81.54%)术后6个月生存。死亡组年龄≥60岁、高血压、高尿酸血症、心源性休克占比分别为62.50%、58.33%、50.00%、66.67%，高于生存组的33.96%、21.70%、17.92%、11.32%，差异有统计学意义(P<0.05)。Logistic回归分析显示年龄≥60岁、高血压、高尿酸血症、心源性休克是PCI术后短期死亡的危险因素(P<0.05)。结论 冠心病患者PCI术后短期死亡主要与年龄、高血压、高尿酸血症、心源性休克存在关联，临床需对此引起重视。

    [关键词] 冠心病;冠状动脉介入术;心源性休克;高血压;高尿酸血症

    [中图分类号] R541.4? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2021)33-0050-04

    [Abstract] Objective To investigate the short-term mortality risk and risk factors of coronary heart disease (CHD) after percutaneous coronary intervention (PCI). Methods A total of 130 patients with coronary heart disease admitted to our hospital from January to September 2020 were selected. All patients were treated with PCI. The patients were divided into the survival group and the death group according to the death of patients within 6 months after the operation. The clinical characteristics were compared between the two groups ......