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目的探讨急性心肌梗死(AMI)患者入院时血红蛋白(Hb)水平对AMI住院期间预后的评估价值。方法将849例初发AMI患者按不同临床特征(性别、年龄、住院期间并发症及并发症数量、出院时心功能)分组,分析不同临床特征的AMI患者入院时血Hb水平与AMI患者住院期间不良结局的关系。结果 AMI患者入院时血Hb水平降低与性别、年龄、住院期间并发症及并发症数量、出院时心功能均显著相关(均P<0.01),但经多因素调整后,入院时血Hb水平与AMI患者住院期间发生死亡、心功能≤3级的危险性无相关性(均P>0.05)。结论AMI患者入院时血Hb水平降低不是影响AMI患者住院期间不良结局的独立危险因素。
Objective To investigate the prognostic value of hemoglobin (Hb) level in hospitalized patients with acute myocardial infarction (AMI) during admission. Methods A total of 849 AMI patients were divided into groups according to different clinical characteristics (gender, age, complications during hospitalization and complications, cardiac function after discharge). The levels of serum Hb at admission and AMI patients hospitalized Bad ending relationship. Results The reduction of blood Hb level on AMI patients was significantly associated with gender, age, complications during hospitalization, complications and heart function at discharge (all P <0.01). However, after adjustment for multiple factors, blood Hb levels There was no correlation between the death of AMI patients during hospitalization and the risk of cardiac function ≤3 (all P> 0.05). Conclusions The decrease of serum Hb level on admission is not an independent risk factor for AMI patients during hospitalization.