中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
18期
2772-2774
,共3页
高血压%心肌梗死
高血壓%心肌梗死
고혈압%심기경사
Hypertension%Myocardial Infarction
目的 探讨高血压对急性心肌梗死的影响.方法 将100例急性心肌梗死患者按照既往有无高血压病史分为观察组(既往有高血压病史)58例和对照组(既往无高血压病史)42例.比较两组发病时出现胸痛、心功能分级、并发症、住院期间病死率情况.结果 观察组患者发病时出现胸痛概率77.59％,明显高于对照组的47.62％ (χ2=9.616,P＜0.05)；观察组心功能I级患者占29.31％,明显少于对照组的54.76％(χ2=6.575,P＜0.05)；观察组心力衰竭、心律失常的发生率分别为46.55％、51.72％,均明显高于对照组的23.81％、28.57％(χ2=5.405、11.152,均P＜0.05)；观察组住院期间病死率20.69％,明显高于对照组的14.29％ (χ2=10.952,P＜0.05).结论 高血压对急性心肌梗死影响较大,积极地控制高血压、对患者进行综合的护理、健康教育等可以降低病死率.
目的 探討高血壓對急性心肌梗死的影響.方法 將100例急性心肌梗死患者按照既往有無高血壓病史分為觀察組(既往有高血壓病史)58例和對照組(既往無高血壓病史)42例.比較兩組髮病時齣現胸痛、心功能分級、併髮癥、住院期間病死率情況.結果 觀察組患者髮病時齣現胸痛概率77.59％,明顯高于對照組的47.62％ (χ2=9.616,P＜0.05)；觀察組心功能I級患者佔29.31％,明顯少于對照組的54.76％(χ2=6.575,P＜0.05)；觀察組心力衰竭、心律失常的髮生率分彆為46.55％、51.72％,均明顯高于對照組的23.81％、28.57％(χ2=5.405、11.152,均P＜0.05)；觀察組住院期間病死率20.69％,明顯高于對照組的14.29％ (χ2=10.952,P＜0.05).結論 高血壓對急性心肌梗死影響較大,積極地控製高血壓、對患者進行綜閤的護理、健康教育等可以降低病死率.
목적 탐토고혈압대급성심기경사적영향.방법 장100례급성심기경사환자안조기왕유무고혈압병사분위관찰조(기왕유고혈압병사)58례화대조조(기왕무고혈압병사)42례.비교량조발병시출현흉통、심공능분급、병발증、주원기간병사솔정황.결과 관찰조환자발병시출현흉통개솔77.59％,명현고우대조조적47.62％ (χ2=9.616,P＜0.05)；관찰조심공능I급환자점29.31％,명현소우대조조적54.76％(χ2=6.575,P＜0.05)；관찰조심력쇠갈、심률실상적발생솔분별위46.55％、51.72％,균명현고우대조조적23.81％、28.57％(χ2=5.405、11.152,균P＜0.05)；관찰조주원기간병사솔20.69％,명현고우대조조적14.29％ (χ2=10.952,P＜0.05).결론 고혈압대급성심기경사영향교대,적겁지공제고혈압、대환자진행종합적호리、건강교육등가이강저병사솔.
Objective To explore the influence of hypertension on acute myocardial infarction.Methods According to patients with or without previous history of hypertension,100 patients with acute myocardial infarction were divided into the observation group(with previous history of hypertension) 58 cases and control group (without previous history of hypertension) 42 cases.The onset of chest pain,cardiac function classification,complications,hospital mortality were compared between the two groups.Results The probability of the onset of chest pain of the observation group(77.59％) was significantly higher than that of the control group(47.62％) (χ2 =9.616,P ＜0.05).The patients with heart function of class I in the observation group(29.31％) was significantly less than that in the control group(54.76％) (χ2 =6.575,P ＜ 0.05).The incidence of heart failure (46.55％) and arrhythmia (51.72 ％) of the observation group was significantly higher than those in the control group (23.81％,2 8.57 ％)(χ2 =5.405,11.152,all P ＜ 0.05) ； The hospital mortality of the observation group (20.69％) was significandy higher than that of the control group(14.29％) (χ2 =10.952,P ＜ 0.05).Conclusion Hypertension may have an obvious effect on acute myocardial infarctiont.Controlling hypertension actively,giving comprehensive nursing to patients and health education can help to control the fatality rate.
