中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
6期
747-749
,共3页
急性心肌梗死%左心室功能%青年人%老年人
急性心肌梗死%左心室功能%青年人%老年人
급성심기경사%좌심실공능%청년인%노년인
Acute myocardial infarction%Left ventricular function%Young people%Elderly
目的 探讨青老年急性心肌梗死后的左心室功能.方法 对本院收治的94例青年和111例老年心肌梗死患者进行一般临床资料采集,记录患者入院的即刻血糖水平、血脂水平、尿酸水平、肌酸激酶同工酶(CK-MB)峰值、梗死部位、处理方法,住院期间心血管事件严重心律失常、死亡心功能KiHip分级、所有患者定期进行超声心动图检查.结果 青年组TG、CK-MB峰值高于老年组[(2.2±0.4) mmol/L比(1.4±0.6) mmoL/L,(190 ±42) U/L比(86±20)U/L,P＜0.05或P＜0.01],前壁心肌梗死比例高于老年组[39.4％(37例)比20.7％(23例)],心功能Killip分级优于老年组[(1.7±0.6)比(2.3±0.8),P＜0.05],病死率低于老年组[4.2％(4例)比13.5％(15例)]；冠状动脉造影显示青年组单支病变多于老年组[50.0％(35/70)比28.9％ (23/76)] (P ＜0.01),而老年组多支病变多于青年组；心肌梗死对青年组的舒张功能、收缩功能的影响小于老年组(P＜0.05).结论 年龄、性别、CK-MB酶峰、入院即刻血糖水平是青年组左心室功能的主要影响因素；年龄、急诊PCI、CK-MB峰值、入院即刻血糖水平是老年组左心室功能的主要影响因素.
目的 探討青老年急性心肌梗死後的左心室功能.方法 對本院收治的94例青年和111例老年心肌梗死患者進行一般臨床資料採集,記錄患者入院的即刻血糖水平、血脂水平、尿痠水平、肌痠激酶同工酶(CK-MB)峰值、梗死部位、處理方法,住院期間心血管事件嚴重心律失常、死亡心功能KiHip分級、所有患者定期進行超聲心動圖檢查.結果 青年組TG、CK-MB峰值高于老年組[(2.2±0.4) mmol/L比(1.4±0.6) mmoL/L,(190 ±42) U/L比(86±20)U/L,P＜0.05或P＜0.01],前壁心肌梗死比例高于老年組[39.4％(37例)比20.7％(23例)],心功能Killip分級優于老年組[(1.7±0.6)比(2.3±0.8),P＜0.05],病死率低于老年組[4.2％(4例)比13.5％(15例)]；冠狀動脈造影顯示青年組單支病變多于老年組[50.0％(35/70)比28.9％ (23/76)] (P ＜0.01),而老年組多支病變多于青年組；心肌梗死對青年組的舒張功能、收縮功能的影響小于老年組(P＜0.05).結論 年齡、性彆、CK-MB酶峰、入院即刻血糖水平是青年組左心室功能的主要影響因素；年齡、急診PCI、CK-MB峰值、入院即刻血糖水平是老年組左心室功能的主要影響因素.
목적 탐토청노년급성심기경사후적좌심실공능.방법 대본원수치적94례청년화111례노년심기경사환자진행일반림상자료채집,기록환자입원적즉각혈당수평、혈지수평、뇨산수평、기산격매동공매(CK-MB)봉치、경사부위、처리방법,주원기간심혈관사건엄중심률실상、사망심공능KiHip분급、소유환자정기진행초성심동도검사.결과 청년조TG、CK-MB봉치고우노년조[(2.2±0.4) mmol/L비(1.4±0.6) mmoL/L,(190 ±42) U/L비(86±20)U/L,P＜0.05혹P＜0.01],전벽심기경사비례고우노년조[39.4％(37례)비20.7％(23례)],심공능Killip분급우우노년조[(1.7±0.6)비(2.3±0.8),P＜0.05],병사솔저우노년조[4.2％(4례)비13.5％(15례)]；관상동맥조영현시청년조단지병변다우노년조[50.0％(35/70)비28.9％ (23/76)] (P ＜0.01),이노년조다지병변다우청년조；심기경사대청년조적서장공능、수축공능적영향소우노년조(P＜0.05).결론 년령、성별、CK-MB매봉、입원즉각혈당수평시청년조좌심실공능적주요영향인소；년령、급진PCI、CK-MB봉치、입원즉각혈당수평시노년조좌심실공능적주요영향인소.
Objective To explore left ventricular function for young people and old people with acute myocardial infarction.Methods General clinical data of 94 cases of young people and 111 cases elderly patients with myocardial infarction received in our hospital were collected.The immediately blood glucose levels,lipid levels,uric acid levels,creatine kinase isoenzymes peak,infarction,treatment and cardiovascular events during hospitalization which included serious arrhythmia,Killip class of heart function and death rates were recorded.All patients had echocardiography periodically.Results The triglycerides and creatine kinase isoenzyme (CK-MB) peak in young group are higher than those in the older group [(2.2 ± 0.4) mmol/L vs (1.4 ± 0.6) mmol/L,(190 ± 42) U/L vs (86 ± 20) U/L,P ＜ 0.05 or P ＜ 0.01],and the anterior myocardial infarction is more common [39.4％ (37 cases)vs 20.7％ (23 cases)] ; the Killip class of heart function was better and the mortality was lower [4.2％ (4 cases)vs 13.5％ (15 cases)] compared to the older group.Coronary angiography showed the young group mostly had single-vessel disease[50.0％ (35/70) vs 28.9％ (23/76)] (P ＜ 0.01) and the elderly group had multi-vessel disease.The influence of myocardial infarction for the diastolic function and contractile function in the young group was lower than that the old group (P ＜ 0.05).Conclusions Age,gender,CK-MB enzyme peak and hospitalized immediately blood sugar levels are the main factors of left ventricular function for the young group.Age,emergent PCI,CK-MB enzyme peak,hospitalized immediately blood sugar levels are the main factors of left ventricular function for the old group.
