中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
13期
36-37
,共2页
刘卫民%韩桂枝%林丽%王国振%王月
劉衛民%韓桂枝%林麗%王國振%王月
류위민%한계지%림려%왕국진%왕월
急性心肌梗死%糖代谢%高血压%血脂异常%腹型肥胖
急性心肌梗死%糖代謝%高血壓%血脂異常%腹型肥胖
급성심기경사%당대사%고혈압%혈지이상%복형비반
Acute myocardial infarction%Glycometabolism%Hypertension%Dyslipidemia%Abdomen obese
目的：研究急性心肌梗死（AMI）患者的代谢危险因素并评估其累积效应对预后的影响。方法调查398例 AMI 住院患者的高血压及糖代谢异常等代谢危险因素，具有3种或以上代谢危险因素的患者为 A 组，具有1种或2种的患者为 B 组，其余为 C 组。分析三组患者的临床特点、住院病死率，1年病死率及1年内心力衰竭及再次心肌梗死等心性事件的发生情况。结果 A 组108例，B 组153例患者；A 或 B 组 Kiliip 分级高、恶性心律失常发生率、住院病死率、1年内病死率以及1年内心性事件发生率高于 C 组，差异有统计学意义（P ﹤0.05或 P ﹤0.01）；A 组高血压、糖代谢紊乱、冠心病、血脂代谢紊乱多于 B 组（P ﹤0.01），Kiliip 分级、恶性心律失常发生率、住院病死率、1年内病死率以及1年内心性事件发生率高于 B 组或 C 组，差异有统计学意义（ P ﹤0.05或 P ﹤0.01）。结论代谢危险因素是影响 AMI 患者预后的独立危险因素，代谢危险因素越多，预后越差。
目的：研究急性心肌梗死（AMI）患者的代謝危險因素併評估其纍積效應對預後的影響。方法調查398例 AMI 住院患者的高血壓及糖代謝異常等代謝危險因素，具有3種或以上代謝危險因素的患者為 A 組，具有1種或2種的患者為 B 組，其餘為 C 組。分析三組患者的臨床特點、住院病死率，1年病死率及1年內心力衰竭及再次心肌梗死等心性事件的髮生情況。結果 A 組108例，B 組153例患者；A 或 B 組 Kiliip 分級高、噁性心律失常髮生率、住院病死率、1年內病死率以及1年內心性事件髮生率高于 C 組，差異有統計學意義（P ﹤0.05或 P ﹤0.01）；A 組高血壓、糖代謝紊亂、冠心病、血脂代謝紊亂多于 B 組（P ﹤0.01），Kiliip 分級、噁性心律失常髮生率、住院病死率、1年內病死率以及1年內心性事件髮生率高于 B 組或 C 組，差異有統計學意義（ P ﹤0.05或 P ﹤0.01）。結論代謝危險因素是影響 AMI 患者預後的獨立危險因素，代謝危險因素越多，預後越差。
목적：연구급성심기경사（AMI）환자적대사위험인소병평고기루적효응대예후적영향。방법조사398례 AMI 주원환자적고혈압급당대사이상등대사위험인소，구유3충혹이상대사위험인소적환자위 A 조，구유1충혹2충적환자위 B 조，기여위 C 조。분석삼조환자적림상특점、주원병사솔，1년병사솔급1년내심력쇠갈급재차심기경사등심성사건적발생정황。결과 A 조108례，B 조153례환자；A 혹 B 조 Kiliip 분급고、악성심률실상발생솔、주원병사솔、1년내병사솔이급1년내심성사건발생솔고우 C 조，차이유통계학의의（P ﹤0.05혹 P ﹤0.01）；A 조고혈압、당대사문란、관심병、혈지대사문란다우 B 조（P ﹤0.01），Kiliip 분급、악성심률실상발생솔、주원병사솔、1년내병사솔이급1년내심성사건발생솔고우 B 조혹 C 조，차이유통계학의의（ P ﹤0.05혹 P ﹤0.01）。결론대사위험인소시영향 AMI 환자예후적독립위험인소，대사위험인소월다，예후월차。
Objective To investigate the metabolism risk factors of patients with acute myocardi-al infarction(AMI)and the cumulative effect on the outcome. Methods The metabolism risk factors of 398 patients with AMI received the conventional therapies were investigated,including hypertension,gly-cometabolism and dyslipidemia,etc. The patients with three or more metabolism risk factors were en-rolled in group A,while those with one or two metabolism risk factors were enroled in group B,and the others were enrolled in group C. The clinical characteristics,inhospital mortality,one year mortality and heart ocurrence rate in one year was analyzed. Results There were 153 patients in group B,and 108 patients in group A. Compared with groupC,patients in group A or group B were more prone to have ma-lignant arrhythmia and high Killip grade,and the inhospital,one year mortality and heart ocurrence rate were higher(P ﹤ 0. 05 or P ﹤ 0. 01). Compared with group B,patientsin group A were more prone to have hypertension disorder,glycometabolism,dyslipidemia and abdomen obese(P ﹤ 0. 01). Compared with group B or group C,patients in group A were more prene to have more malignant arrhythmia and high Killip grade patients in,and the inhospital,one year mortality and heart ocurrence rate were higher (P ﹤ 0. 05 or P ﹤ 0. 01). Conclusions The metabolism risk factors are all independent risk factors for the outcome of the patients with AMI,with more metabolism risk factors,the outcome is worse.
