中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
8期
806-807
,共2页
冠状血管造影术%急性ST段抬高型心肌梗死%疾病特征
冠狀血管造影術%急性ST段抬高型心肌梗死%疾病特徵
관상혈관조영술%급성ST단태고형심기경사%질병특정
Coronary angiography%Acute ST-segment elevation myocardial infacrtion%Disease attributes
目的 探讨冠状动脉(冠脉)造影正常的急性ST段抬高型心肌梗死(STEMI)患者的临床特点.方法 选择456例STEMI患者,均行冠脉造影.比较冠脉造影正常与异常的ASTEMI患者的年龄、性别、既往病史等资料.结果 456例STEMI患者中,共21例(4.6%)冠脉造影正常.31～40岁组冠脉造影正常者所占比例显著高于41～50岁组(χ~2=19.025,P＜0.01);41～50岁组又显著高于51～60岁组(χ~2=5.375,P＜0.05).冠脉造影正常组和冠脉造影异常组患者的年龄,既往心绞痛、高血压病、糖尿病、高脂血症的发生率,吸烟史间差异均有统计学意义(P＜0.05);而两组患者的性别及家族史间差异无统计学意义(P＞0.05).结论 冠脉造影正常的STEMI患者年龄较小,多无心绞痛、高血压、糖尿病病史及血脂异常,且以大量吸烟者居多.
目的 探討冠狀動脈(冠脈)造影正常的急性ST段抬高型心肌梗死(STEMI)患者的臨床特點.方法 選擇456例STEMI患者,均行冠脈造影.比較冠脈造影正常與異常的ASTEMI患者的年齡、性彆、既往病史等資料.結果 456例STEMI患者中,共21例(4.6%)冠脈造影正常.31～40歲組冠脈造影正常者所佔比例顯著高于41～50歲組(χ~2=19.025,P＜0.01);41～50歲組又顯著高于51～60歲組(χ~2=5.375,P＜0.05).冠脈造影正常組和冠脈造影異常組患者的年齡,既往心絞痛、高血壓病、糖尿病、高脂血癥的髮生率,吸煙史間差異均有統計學意義(P＜0.05);而兩組患者的性彆及傢族史間差異無統計學意義(P＞0.05).結論 冠脈造影正常的STEMI患者年齡較小,多無心絞痛、高血壓、糖尿病病史及血脂異常,且以大量吸煙者居多.
목적 탐토관상동맥(관맥)조영정상적급성ST단태고형심기경사(STEMI)환자적림상특점.방법 선택456례STEMI환자,균행관맥조영.비교관맥조영정상여이상적ASTEMI환자적년령、성별、기왕병사등자료.결과 456례STEMI환자중,공21례(4.6%)관맥조영정상.31～40세조관맥조영정상자소점비례현저고우41～50세조(χ~2=19.025,P＜0.01);41～50세조우현저고우51～60세조(χ~2=5.375,P＜0.05).관맥조영정상조화관맥조영이상조환자적년령,기왕심교통、고혈압병、당뇨병、고지혈증적발생솔,흡연사간차이균유통계학의의(P＜0.05);이량조환자적성별급가족사간차이무통계학의의(P＞0.05).결론 관맥조영정상적STEMI환자년령교소,다무심교통、고혈압、당뇨병병사급혈지이상,차이대량흡연자거다.
Objective To investigate the morbidity rate and clinical characteristics of acute ST-segment elevation myocardial infarction (STEMI) with normal coronary angiograms (CAG).Methods The CAG findings and related risk factors were analysed in 456 STEMI patients admitted to our hospital from August 2004 to August 2009.Results The patients with STEMI and normal CAG accounted for 4.6% (21/ 456) patients.The proportion of patients with normal CAG was significantly higher in 31～40-year-old group than in 41～50-year-old group (χ~2=19.025,P＜0.01),and higher in 41～50-year-old group than in 51～60-year-old group (χ~2=5.375,P＜0.05).There was significant difference in age,gender,and the incidence of angina pectoris,hypertentive disease,diabetes,hyperlipidemia and smoking history between groups normal CAG and abnormal (P＜0.05),but there was not in family history (P＞0.05).Conclusion Acute STEMI with normal CAG is more likely to occur in young smokers,most of whom have no history of angina pectoris,hypertensive,diabetes,or abnormal blood lipid.
