摘要:目的:评价急性ST段抬高型心肌梗死(ST segment elevation myocardial infarction,STEMI)患者诊断性冠状动脉造影获得的SYNTAX评分,与经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)后无复流现象的相关性。方法:入选在发病后12h内行PCI治疗的397例STEMI患者,进行回顾性分析。根据单纯冠状动脉病变心脏外科与介入治疗狭窄冠状动脉研究(Synergy between percutaneous coronary intervention with TAXUS and cardiac surgery,SYNTAX)评分的中位数,将患者分为高分组和低分组。将冠状动脉造影结果作为无复流的判断标准。采用多元Logistic回归分析,评价SYNTAX评分与急诊PCI后无复流现象的的相关性。结果:PCI术后发生无复流现象的患者共79例(19.9%),其中SYNTAX评分高分组无复流发生率显著高于低分组。多元Logistic回归分析显示,年龄≥55岁(OR=2.46,95%CI=1.72~3.41;P〈0.001)、入院前服用β阻滞剂(OR=0.62,95%CI=0.41~0.92;P=0.021)、术前Killip分级(4级,OR=3.78,95%CI=2.14~6.48;P〈0.001)、再灌注时间(≥2h,OR=1.37,95%CI=1.02~1.79;P=0.036)、及SYNTAX评分≥15.75(OR=1.16,95%CI=1.01~2.45;P〈0.001)是直接PCI术无复流现象的独立预测因素。结论:STEMI患者急诊PCI前通过冠状动脉造影获得的SYNTAX评分对于预测STEMI患者PCI后无复流现象并进行危险分层具有一定参考价值。
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