中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
8期
897-899
,共3页
赵秀娟%李帮清%宋俊贤%迟骋%陈红
趙秀娟%李幫清%宋俊賢%遲騁%陳紅
조수연%리방청%송준현%지빙%진홍
心肌梗死%发病时间%清晨高峰%危险因素
心肌梗死%髮病時間%清晨高峰%危險因素
심기경사%발병시간%청신고봉%위험인소
Myocardial infarction%Time of onset%Morning peak%Risk factors
目的 探讨急性心肌梗死(AMI)发病清晨高峰现象的影响因素.方法 连续入选2002年10月到2006年9月北京大学人民医院发病时间明确的AMI患者,共874例.统计AMI发病时间的昼夜节律,找出AMI发病的清晨高峰,用多元非条件Logistic回归分析探寻AMI发病清晨高峰的影响因素.结果 AMI的发病时间有明显的昼夜节律,高峰在6:01～9:00时(146例,16.7%,与其他时间段比较,P＜0.05).多元非条件Logistic回归分析显示,男性(OR=1.74,95%CI:1.11～2.73,P＜0.05)、高血压病史(OR=1.71,95%CI:1.17～2.51,P＜0.01)和梗死前心绞痛(OR=1.61,95%CI:1.08～2.38,P＜0.05)是AMI发病清晨高峰的独立危险因素.结论 AMI的发病时间有明显的清晨高峰现象,男性、高血压病史和梗死前心绞痛是AMI发病清晨高峰的独立危险因素.
目的 探討急性心肌梗死(AMI)髮病清晨高峰現象的影響因素.方法 連續入選2002年10月到2006年9月北京大學人民醫院髮病時間明確的AMI患者,共874例.統計AMI髮病時間的晝夜節律,找齣AMI髮病的清晨高峰,用多元非條件Logistic迴歸分析探尋AMI髮病清晨高峰的影響因素.結果 AMI的髮病時間有明顯的晝夜節律,高峰在6:01～9:00時(146例,16.7%,與其他時間段比較,P＜0.05).多元非條件Logistic迴歸分析顯示,男性(OR=1.74,95%CI:1.11～2.73,P＜0.05)、高血壓病史(OR=1.71,95%CI:1.17～2.51,P＜0.01)和梗死前心絞痛(OR=1.61,95%CI:1.08～2.38,P＜0.05)是AMI髮病清晨高峰的獨立危險因素.結論 AMI的髮病時間有明顯的清晨高峰現象,男性、高血壓病史和梗死前心絞痛是AMI髮病清晨高峰的獨立危險因素.
목적 탐토급성심기경사(AMI)발병청신고봉현상적영향인소.방법 련속입선2002년10월도2006년9월북경대학인민의원발병시간명학적AMI환자,공874례.통계AMI발병시간적주야절률,조출AMI발병적청신고봉,용다원비조건Logistic회귀분석탐심AMI발병청신고봉적영향인소.결과 AMI적발병시간유명현적주야절률,고봉재6:01～9:00시(146례,16.7%,여기타시간단비교,P＜0.05).다원비조건Logistic회귀분석현시,남성(OR=1.74,95%CI:1.11～2.73,P＜0.05)、고혈압병사(OR=1.71,95%CI:1.17～2.51,P＜0.01)화경사전심교통(OR=1.61,95%CI:1.08～2.38,P＜0.05)시AMI발병청신고봉적독립위험인소.결론 AMI적발병시간유명현적청신고봉현상,남성、고혈압병사화경사전심교통시AMI발병청신고봉적독립위험인소.
Objective To investigate the morning peak of onset time in patients with acute myocardial infarction(AMI) and its risk factors. Methods A retrospective analysis of patients(n = 874) diagnosed with AMI between October 2002 and September 2006 in Peking University people's hospital was carried out. We calculated the number and the percentage of AMI cases and found out the morning peak time of AMI's onset. The clinical factors in relation to the peak time of AMI's onset were analyzed using multivariate unconditional Logistic regression. Results There was a circadian rhythm of AMI with a peak incidence during 6:01-9:00 (P＜0. 05, compared with other times). Logistic regression analysis showed that the risk factors of the morning peak of AMI's onset included men (0R= 1.74, 95% CI: 1.11-2.73, P＜0.05), the history of hypertension (OR =1.71, 95% CI:1. 17-2.51, P＜ 0.01) and the preinfarction angina(OR = 1.61, 95%CI:1.08-2. 38, P＜0.05). Conclusions AMI is more likely to happen in the morning hours. Men, hypertension and the preinfarction angina are the independent risk factors associated with AMI's onset.
