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Зүрхний цочмог шигдээсийн үеийн улаан эсийн тархалтын өргөний нөлөөг судалсан үр дүн
Зохиогч
Он
2023 оны тавдугаар сарын 18
Төрөл
journal article
Journal
Эрүүл мэндийн шинжлэх ухаан
Volume
19
Issue
3
Start Page
46
End Page
51
ISSN
2959-6947
Хураангуй
Үндэслэл: Дэлхийд жил бүр 32 сая хүн зүрхний шигдээсээр өвдөж, 2.5 сая хүн нас бардаг. Европт 6 эрэгтэй тутмын 1 нь, 7 эмэгтэй тутмын 1 нь зүрхний шигдээсийн улмаас нас барж байна. ST сегмент өргөгдсөн зүрхний цочмог шигдээсийн эмнэлэгт хэвтэх тохиолдол ази, европын орнуудад харилцан адилгүй байна. Зорилго: ST өргөлттэй зүрхний цочмог шигдээсийн үеийн улаан эсийн тархалтын өргөн болон түүнд нөлөөлөх хүчин зүйлийн хамаарлыг бүлгүүдийн хооронд харьцуулан судлахад оршино. Арга, аргачлал: УГТЭ-н зүрхний шигдээсийн тасагт ST өргөлттэй зүрхний цочмог шигдээс оношоор 2019-2020 онд хэвтэн эмчлүүлж эмнэлгээс гарсан 214, нас барсан 58 эмчлүүлэгчийн өвчний түүхээс 24 асуулт бүхий судалгааны картын дагуу хэрэглэгдэхүүнийг цуглуулж эмнэлгээс гарсан болон нас барсан бүлэг болгон харьцуулж судлав. Үр дүн: Судалгаанд оролцсон 1-р бүлгийн дундаж нас 61.98±12.77 жил, эрэгтэй 76.6% (164), эмэгтэй 23.4% (50) буюу эрэгтэй хүйс давамгайлж байв. Дүгнэлт: УЭТӨ-нд нөлөөлсөн хүчин зүйлийн логистик регрессийн шинжилгээгээр эмнэлгээс гарсан бүлэгт нас, БЖИ, тамхи, цээжний өвдөлтийн хугацаа зэрэг хувьсагчид ЗЦШ-т 15.71%-иар нөлөөлсөн байна. Харин нас барсан бүлэгт нас, БЖИ, тамхи, артерийн гипертензи, чихрийн шижин, ЗХАФ зэрэг хувьсагчид статистик магадлалтай нөлөөлж, ЗЦШ-н нас баралтад 44.9%-иар нөлөөлсөн болохыг тогтоов.
Background: Myocardial infarction remains one of the leading causes of disability and death worldwide and remains a major international health problem. Every year in the world, 32 million people having a heart attacks and 2.5 million people die. The reason for this study is that there are few studies in Mongolia that have investigated the relationship between hospital mortality and red blood cell distribution width due to acute myocardial infarction, including ST-elevation acute myocardial infarction. Aim: Compare between groups the distribution width of red blood cells and the factors affecting it during ST-elevation acute myocardial infarction. Materials and Methods: The study was conducted in a retrospective observational study design. In 2019-2020, medical records of 214 patients and 58 patients who died were collected from the medical histories due to ST-elevation acute heart attack in the heart attack department of the Third State Central Hospital. In the quantitative data of the research, the center parameters, mean value, standard deviation, variance and distribution were determined and processed using probabilistic methods such as Student’s T-criterion, P value and chi-square. Pearson’s coefÏcient analysis was performed to analyze the relationship between red blood cell distribution width and the influencing factors of myocardial infarction and linear regression analysis was performed for the related factors. Research data was performed using Microsoft ofÏce 2010, statistical processing of results using SPSS 23.0 programs. Results: The average age of the group discharged from the hospital participating in the study was 61.98±12.77, 76.6% (164) were male, 23.4% (50) female, the male gender predominated. The average age of the group that in hospital mortality was 66.95±13.36, and it was more common in males, 70.7%(41). Multivariate linear regression analysis of the discharge group showed that age (B=0.15; 95% CI 0.01-0.21; p<0.001), BMI (B=0.35; 95% CI 0.20-0.55; p<0.001), duration of chest pain ( B=0.18; 95% CI 0.15-0.52; p=0.03), years of smoking (B=0.17; 95%CI 0.28-0.31; p<0.001); arterial hypertension (B=0.18; 95% CI 0.11-0.28; p=0.04). troponin (B=0.20; 95% CI 0.04-0.40; p=0.04); It was determined that variables such as LVEF (B=0.55; 95% CI 0.44-.058; p<0.05) had a linear relationship with the distribution width of red blood cells. In hospital mortality group of multivariate linear regression analysis showed that age (B=0.99; 95% CI 0.271.72; P<0.001), BMI (B=0.01; 95% CI 0.01-0.17; p<0.001), smoking (B= 0.01; 95% CI 0.01-0.12; p<0.001), arterial hypertension (B=0.97 95% CI 0.95-0.99 p<0.001), diabetes (B=0.45; 95% CI 0.38-0.85; P<0.001), It was determined that the variables such as LVEF (B=0.75; 95% CI 0.65-0.95; p<0.001) had a linear relationship with the distribution width of red blood cells. Conclusions: 1. The average age of the group who died of ST-segment elevation CVD was 4.97% higher (p<0.01), RDW-CV was 1.09% higher (p<0.001), LVEF was decreased by 6.92%, and the troponin level was 3950 ng. /l increased, ASP decreased by 22.47 mm Hg, ARP decreased by 14.58 mm Hg, ps increased by 6.4. 2. The risk of death is linearly influenced by patient age, BMI, arterial hypertension, diabetes, duration of chest pain, duration of smoking, LVEF, and ps in the mortality rate of ST-elevation acute myocardial infarction. 3. According to the logistic regression analysis of the factors influencing the RDW-CV, variables such as age, BMI, smoking, and duration of chest pain had a 15.71% effect on the AMI in the group discharged from the hospital. However, in the deceased group, variables such as age, BMI, smoking, arterial hypertension, diabetes, and AMI had a statistically significant effect, and it was found that 44.90% had an effect on the mortality of AMI.
Нэмэлт мэдээлэл
Бүрэн эх: https://journal.mnums.edu.mn/index.php/emsu/article/view/838
Эшлэл
Т.Насанбаяр, Х.Батмягмар, М.Туул. Зүрхний цочмог шигдээсийн үеийн улаан эсийн тархалтын өргөний нөлөөг судалсан үр дүн. Эрүүл мэндийн шинжлэх ухаан. 2023;19(3):46-51.