休克指数对急性心肌梗死患者PCI术后远期生存状况的影响

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Abstract Objective To explore the effect of shock index (SI) on long-term survival after percutaneous coronary intervention (PCI) in patients with acute myocardial infarction. Methods A total of 184 patients with acute myocardial infarction who were treated in Daxing District People′s Hospital of Beijing from December 2016 to December 2017 were selected as the research objects. According to the optimal threshold value of the working characteristic curve (0.49) of the patients, they were divided into the low SI group (≤0.49) and the high SI group (＞0.49), with 52 cases in the low SI group and 132 cases in the high SI group. Blood pressure and heart rate of patients were collected and SI was calculated. The optimal threshold value was determined by using the working characteristic curve of patients. Clinical data and causes of death were compared between the two groups. Results There were no statistically significant differences between the two groups in gender, age, course of disease, the proportion of paritients with hypertension, diabetes, history of smoking, hyperlipidemia, renal insufficiency, history of PCI surgery and history of peripheral vascular disease, PCI related characteristics, characteristics of drug therapy, and all-cause mortality (all P ＞ 0.05). The cardiogenic mortality in the high SI group was higher than that in the low SI group, and the difference was statistically significant (P ＜ 0.05). Conclusion SI can effectively predict the long-term survival status of patients with acute myocardial infarction. Clinicians should formulate treatment and rehabilitation plans in combination with patients′ SI to improve the prognosis of patients.

Key words： Shock index Acute myocardial infarction Percutaneous coronary intervention Long-term survival

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	DONG Ningchao ZHANG Gong CHENG Guojie TONG Zichuan

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DONG Ningchao ZHANG Gong CHENG Guojie TONG Zichuan. Effect of shock index on the long-term survival of patients with acute myocardial infarction after PCI[J]. 中国医药导报, 2020, 17(17): 76-78.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I17/76

[1] 赵春生，王艳飞，孙海艳，等.休克指数与修正休克指数对急性非ST段抬高型心肌梗死预后的预测价值[J].广东医学，2017，38（6）：918-921.
[2] 吴爱萍，王金柱，韩芳，等.休克指数与脓毒性休克患者病情严重程度的相关性及对预后的评估价值[J].中华危重病急救医学，2018，30（12）：1141-1145.
[3] 赵春生，王艳飞，孙海艳，等.休克指数与修正休克指数在急诊对急性ST段抬高型心肌梗死短期预后判断中的预测价值[J].实用医学杂志，2016，32（24）：4065-4069.
[4] 武佳科，田春阳，何东旭，等.休克指数对行经皮冠状动脉介入治疗的急性心肌梗死患者长期预后的预测价值[J].中国医科大学学报，2018，47（6）：522-526.
[5] Maneschi F，Perrone S，Di Lucia A，et al. Shock parameters and shock index during severe post-partum haemorrhage and implications for management：a clinical study [J]. J Obstet Gynaecol，2020，40（1）：40-45.
[6] El-Menyar A，Abdelrahman H，Alhammoud A，et al. Prognostic Role of Shock Index in Traumatic Pelvic Fracture： A Retrospective Analysis [J]. J Surg Res，2019，243：410-418.
[7] 盛瑾，刘文娴，曹佳宁，等.休克指数对急性心肌梗死危重患者院内死亡的预测价值[J].中国医药，2016，11（3）：310-314.
[8] 鲁叶弘，王雅心，付强，等.危重急性非ST段抬高型心肌梗死患者的休克指数对预后的评估[J].心脑血管病防治，2019，19（1）：93-95.
[9] Zhu CS，Cobb D，Jonas RB，et al. Shock index and pulse pressure as triggers for massive transfusion [J]. J Trauma Acute Care Surg，2019，87（1S Suppl 1）：S159-S164.
[10] Sharma A，Naga Satish U，Tevatia MS，et al. Prehospital shock index，modified shock index， and pulse pressure heart rate ratio as predictors of massive blood transfusions in modern warfare injuries：A retrospective analysis [J]. Med J Armed Forces India，2019，75（2）：171-175.
[11] 安福望，原艺萌.SI和MSI在急性非ST段抬高型心肌梗死患者预后评估中的价值[J].中国循证心血管医学杂志，2018，10（5）：607-610.
[12] 黄光华.休克指数对冠心病不稳定型心绞痛病死率的预测价值研究[J].河北医药，2018，40（13）：1957-1960.
[13] 黄康，李强，唐史林，等.血小板分布宽度联合休克指数对急性心肌梗死患者长期预后的预测价值[J].解放军医学院学报，2019，40（2）：127-131.
[14] 梁伟东，李莹莹，张英俭，等.严重多发伤并发急性创伤性凝血病的临床特征[J].中国医药科学，2019，9（3）：163-165.
[15] Pasquier P，Duron S，Pouget T，et al. Use of Shock Index to Identify Mild Hemorrhage：An Observational Study in Military Blood Donors [J]. Prehosp Disaster Med，2019， 34（3）：303-307.
[16] Jung DH，Ko BS，Kim YJ，et al. Comparison of risk scores and shock index in hemodynamically stable patients presenting to the emergency department with nonvariceal upper gastrointestinal bleeding [J]. Eur J Gastroenterol Hepatol，2019，31（7）：781-785.
[17] Lee SY，Kim HY，Cho GJ，et al. Use of the shock index to predict maternal outcomes in women referred for postpartum hemorrhage [J]. Int J Gynaecol Obstet，2019，144（2）：221-224.
[18] Zu D，Zhuge Y. Correlation between shock index and diastolic blood pressure in patients with postpartum hemorrhage and early warning of postpartum hemorrhage risk： an analysis of numerous cases in 4 years [J]. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue，2018，30（10）：959-963.
[19] Bhandarkar P，Munivenkatappa A，Roy N，et al. Pattern and Distribution of Shock Index and Age Shock Index Score Among Trauma Patients in Towards Improved Trauma Care Outcomes（TITCO）Dataset [J]. Bull Emerg Trauma，2018，6（4）：313-317.
[20] Menezes IAC，Cunha CLD，Junior HC，et al. Increase of Perfusion Index During Vascular Occlusion Test is Paradoxically Associated With Higher Mortality in Septic Shock After Fluid Resuscitation：A Prospective Study [J]. Shock，2019，51（5）：605-612.
[21] Vallée F，Nougué H，Mari A，et al. Variations of Cutaneous Capnometry and Perfusion Index During a Heating Challenge is Early Impaired in Septic Shock and Related to Prognostic in Non-Septic Shock [J]. Shock，2019，51（5）：585-592.