中华护理杂志 ›› 2020, Vol. 55 ›› Issue (4): 542-548.DOI: 10.3761/j.issn.0254-1769.2020.04.012
收稿日期:
2019-07-01
出版日期:
2020-04-15
发布日期:
2020-04-15
通讯作者:
作者简介:
燕芳红:硕士,助教,E-mail:yanfanghong@163.com
基金资助:
YAN Fanghong,LIU Huan,JIANG Wenhui()
Received:
2019-07-01
Online:
2020-04-15
Published:
2020-04-15
摘要: 目的 明确ST段抬高型心肌梗死(ST elevation myocardial infarction,STEMI)患者经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后主要心血管不良事件(major adverse cardiovascular events,MACEs)发生的危险因素。方法 计算机检索Embase、Medline、Scopus、中国知网、中国生物医学文献数据库、万方、维普等数据库,纳入2008年1月1日—12月31日关于STEMI患者PCI术后MACEs危险因素的文献。2名研究人员独立完成文献筛选、偏倚风险评价及资料提取,并进行Meta分析。结果 共纳入35篇文献,包括43 839例患者,有统计学意义的危险因素包括女性(OR=4.17)、高龄(OR=2.84)、红细胞分布宽度≥13%(OR=2.04)、肾功能异常(OR=2.23)、随机血糖≥11 mmol/L(OR=1.82)、非O型血(OR=1.75)、三支病变(OR=1.75)、糖化血红蛋白分数≥5.7%(OR=1.63)、无梗死前胸痛症状(OR=1.56)、症状出现至球囊扩张时间延长(OR=1.48)、高血压(OR=1.27)。结论 女性、高龄、红细胞分布宽度≥13%、肾功能异常、随机血糖≥11 mmol/L等是STEMI患者PCI术后MACEs的危险因素。
燕芳红, 刘欢, 蒋文慧. ST段抬高型心肌梗死患者介入术后心血管不良事件危险因素的Meta分析[J]. 中华护理杂志, 2020, 55(4): 542-548.
YAN Fanghong, LIU Huan, JIANG Wenhui. Risk factors of major adverse cardiovascular events in ST elevation myocardial infarction patients after percutaneous coronary intervention:a Meta-analysis[J]. Chinese Journal of Nursing, 2020, 55(4): 542-548.
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