中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2008年
10期
18-19
,共2页
不稳定型心绞痛%急性心肌梗死%危险因素
不穩定型心絞痛%急性心肌梗死%危險因素
불은정형심교통%급성심기경사%위험인소
Unstable angina pectoris%Acute myocardial infarction%Risk factors
目的 探讨不稳定型心绞痛早期内发生急性心肌梗死的危险因素.方法 对2003年1月至2007年12月在我院住院的110例患者分为两组进行分析:48例合并急性心肌梗死(A组),62例未发生急性心肌梗死(B组).对两组的临床特点、血糖、血压、血脂、心电图、24 h动态心电图及冠状动脉造影结果进行对比分析.结果 两组资料在高血压、高血脂、心电图、24 h动态心电图及冠状动脉病变部位的比较差异均无统计学意义(P＞0.05).并发急性心肌梗死组,血糖异常、胸痛持续时间超过30 min及冠脉多支病变明显高于对照组(P＜0.05).结论 血糖异常、胸痛时间延长及冠脉多支病变为不稳定型心绞痛患者早期发生急性心肌梗死的危险因素.
目的 探討不穩定型心絞痛早期內髮生急性心肌梗死的危險因素.方法 對2003年1月至2007年12月在我院住院的110例患者分為兩組進行分析:48例閤併急性心肌梗死(A組),62例未髮生急性心肌梗死(B組).對兩組的臨床特點、血糖、血壓、血脂、心電圖、24 h動態心電圖及冠狀動脈造影結果進行對比分析.結果 兩組資料在高血壓、高血脂、心電圖、24 h動態心電圖及冠狀動脈病變部位的比較差異均無統計學意義(P＞0.05).併髮急性心肌梗死組,血糖異常、胸痛持續時間超過30 min及冠脈多支病變明顯高于對照組(P＜0.05).結論 血糖異常、胸痛時間延長及冠脈多支病變為不穩定型心絞痛患者早期髮生急性心肌梗死的危險因素.
목적 탐토불은정형심교통조기내발생급성심기경사적위험인소.방법 대2003년1월지2007년12월재아원주원적110례환자분위량조진행분석:48례합병급성심기경사(A조),62례미발생급성심기경사(B조).대량조적림상특점、혈당、혈압、혈지、심전도、24 h동태심전도급관상동맥조영결과진행대비분석.결과 량조자료재고혈압、고혈지、심전도、24 h동태심전도급관상동맥병변부위적비교차이균무통계학의의(P＞0.05).병발급성심기경사조,혈당이상、흉통지속시간초과30 min급관맥다지병변명현고우대조조(P＜0.05).결론 혈당이상、흉통시간연장급관맥다지병변위불은정형심교통환자조기발생급성심기경사적위험인소.
Objective To analyze the risk factors for acute myocardial infarction(AMI)in patiens with early unstable angina pectoris(UAP).Methods A total of 110 patients who received during July 2003 to December 2007 were included in this study.Patients were divided into two groups:48 cases of acute myocardial infarction(AMI)and 62 cases without AMI.Clinical characteristis,blood glucose,blood pressure,cholesterol,electrocardiographic(ECG),Hoter,coronarography results were recorded and comprared between the two groups.Results There was no difference in hypertension,high cholesterol,ECG,Holter records,locus of coronary artery lesion between the two groups(all P＞0.05).The pathoglycemia,mult-vessel lesions in the AMI group were much higher than those in the without AMI group(P＜0.05).Conclusion UAP patients with pathoglycemia,mult-vessel lesions are facing increased rick of AMI in short-term.
