TyG指数对PCI术后的急性心肌梗死患者预后的预测价值

摘要/Abstract

摘要： 目的探讨甘油三酯-葡萄糖指数（TyG指数）对PCI术后的急性心肌梗死患者预后的预测价值。方法纳入惠州市中心人民医院2021年1月至2022年6月诊断为急性心肌梗死并行PCI术的患者506例。根据TyG指数的中位数将患者分为两组：TyG指数低值组（即TyG指数≤8.98,n=253）和TyG指数高值组（即TyG指数>8.98,n=253）,随访1年,主要终点为主要不良心血管事件（MACE）。应用Logistic回归分析探讨TyG指数对PCI术后的急性心肌梗死患者预后的预测价值。采用ROC曲线评估TyG指数预测这类患者1年内MACE发生率的截点。结果以MACE为终点,显示单因素Logistic回归分析TyG指数（OR=1.822,95%CI:1.334-2.487,P<0.001）,多因素Logistic回归分析 TyG指数（OR=2.318,95%CI:1.427-3.764,P=0.001）。结论高TyG指数是PCI术后的急性心肌梗死患者发生MACE的危险因素,TyG指数与PCI术后的急性心肌梗死患者的预后相关。

关键词: TyG指数, 急性心肌梗死, PCI术, 预后

刘帅, 蔡珺. TyG指数对PCI术后的急性心肌梗死患者预后的预测价值[J]. 心血管病防治知识, 2023, 13(21): 23-27.

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