急性心肌梗死患者血红蛋白水平与30天死亡的相关关系

被引：5

作者：

李培杰

杨小华

曹雯

秦静

张立平

机构：

[1] 兰州大学第二医院急救中心

来源：

中国急救医学 | 2007年 / 05期

关键词：

心肌梗死; 血红蛋白; 预后;

D O I：

暂无

中图分类号：

R542.22 [];

学科分类号：

1002 ; 100201 ;

摘要：

目的了解血红蛋白(Hb)水平对急性心肌梗死(AMI)患者30d死亡的影响。方法回顾性分析兰州大学第二医院1997-01-01～2006-06-01因AMI入院的临床资料,根据入院时患者Hb水平分为二组:Hb水平≤100g/L组(207例)和Hb水平>100g/L组(1379例),研究的主要终点是30d死亡率。结果二组患者30d总死亡率为17.5%,Hb水平≤100g/L组死亡率为21.7%(45/207),比Hb水平>100g/L组死亡率(9.1%,126/1379)明显增高(P<0.001)。多元逻辑回归分析显示,当对其他因素校正后,低Hb水平仍是30d死亡的独立预测因素(HR1.83,CI1.08～2.85;P<0.05)。结论低Hb水平与AMI30d死亡明显相关,可作为判断预后不良的指标,应考虑对这些患者采取特殊治疗策略。

引用

页码：398 / 400

页数：3

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