CAJ | 학술논문

目的：分析女性急性心肌梗死(AMI)特点及危险因素，为女性AMI的预防和治疗提供更多临床依据。方法：收治急性心肌梗死患者342例，其中男219例，女123例，进行性别比较分析。结果：①女性AMI患者年龄偏大，其中56～64岁年龄段女性组和男性组的差异具有统计学意义；②女性AMI患者，胸痛发作至就诊时间长，非典型症状多见，高血压病、糖尿病和高脂血症患病率高，两组间的临床表现有差异；③造影结果：女性多支病变比例明显高于男性，接受再灌注的比例低于男性；④心脏超声：女性AMI的射血分数明显低于男性；⑤女性组在心衰、心源性休克、心律失常、死亡等严重并发症出现的比例要明显高于男性，差异具有统计学意义。结论：男女AMI患者在临床特征、并发症、死亡率等方面均有差异，性别是影响其临床特征和预后的一个重要因素。
목적：분석녀성급성심기경사(AMI)특점급위험인소，위녀성AMI적예방화치료제공경다림상의거。방법：수치급성심기경사환자342례，기중남219례，녀123례，진행성별비교분석。결과：①녀성AMI환자년령편대，기중56～64세년령단녀성조화남성조적차이구유통계학의의；②녀성AMI환자，흉통발작지취진시간장，비전형증상다견，고혈압병、당뇨병화고지혈증환병솔고，량조간적림상표현유차이；③조영결과：녀성다지병변비례명현고우남성，접수재관주적비례저우남성；④심장초성：녀성AMI적사혈분수명현저우남성；⑤녀성조재심쇠、심원성휴극、심률실상、사망등엄중병발증출현적비례요명현고우남성，차이구유통계학의의。결론：남녀AMI환자재림상특정、병발증、사망솔등방면균유차이，성별시영향기림상특정화예후적일개중요인소。
Objective:To Analyze the characteristics of female acute myocardial infarction(AMI)and risk factors,and provide more clinical evidence for the prevention and treatment of female AMI.Methods:We made a comparative analysis of 342 AMI inpa-tients(male 219,female 123)in our department from January 2011 to July 2013.Results:Female AMI patients tend to be older,and the differences between female and male group aged 56~64 had statistical significance.The time of female AMI patients went to see a doctor between after having chest pains were more longer.They almost had atypical symptoms and high prevalence of hyper-tension,diabetes and hyperlipemia.The clinical manifestations were different between the two groups.The results of coronary angi-ography:the percentage of female multivessel lesions is notably higher than male while the percentage of accepting reperfusion is less than males.Cardiac uhrasonography:the ejection fraction of female AMI is distinctly lower than that of males while the per-centage of female group with heart failure,cardiac shock,cardiac arrhythmias,death and other serious complications is apparently higher than that of males,and the difference had statistically significant.Conclusion:Male and female AMI patients have differenc-es between clinical features,complications and mortality,the gender is an important factor affects the clinical features and prognosis.