经皮冠状动脉介入术后患者出血原因Logistic回归分析

摘要

目的 分析总结经皮冠状动脉介入(percutaneous coronary intervention,PCI)术后患者出血的发生情况及其相关危险因素,为提高护理工作质量、降低PCI术后并发症发生率提供参考.方法 回顾性分析2008年1月～2010年1月于我院行PCI术治疗586例的临床资料,并采用Logistic回归分析分析并发症的危险因素.结果 586例中71例发生出血,发生率12.12％,其中35例为严重出血,发生率为5.97％.经Logistic回归分析发现,年龄、糖尿病病史、高血压病病史、消化性溃疡病史、是否择期手术是PCI术后出血的主要危险因素.结论 出血是PCI术后主要并发症,根据患者情况及相关危险因素采取相应护理和治疗对策,可降低PCI术后出血风险.%Objective To improve the quality of nursing and reduce complications in percutaneous coronary intervention (PCI) and to analgze the risk factors of hemorrhage complication. Methods Clincal data of 586 cases of PCI hospitalized during January 2008 to January 2010 were analyzed respectively, and the risk factors were analyzed by Logistic regression. Results 71 cases of hemorrhage in the 586 cases of PCI, the incidence rate of hemorrhage was 12. 12% , 35 cases of serious hemorrhage, the incidence rated of serious hemorrhage was 5.97%. According to logistic gegression analysis, age, hypertension, diabetes, peptic ulcer, and decision of selective operations were the main risk factors of hemorrhage after PCI. Conclusion Hemorrhage is the main complication of PCI. Measures to deal with the risk factors and relative nursing strategies must be taken to prevent the complication, and reduce risk hemorrhage factors after PCI.