中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2012年
34期
69-70
,共2页
非 ST 段抬高型急性心肌梗死%ST 段抬高型急性心肌梗死%临床特征比较
非 ST 段抬高型急性心肌梗死%ST 段抬高型急性心肌梗死%臨床特徵比較
비 ST 단태고형급성심기경사%ST 단태고형급성심기경사%림상특정비교
non-ST-segment elevation acute myocardial infarction%ST-segment elevation acute myocardial infarction%Clinical features
目的对比非 ST 段抬高型急性心肌梗死(NSTEMI)与 ST 段抬高型急性心肌梗死(STEMI)的临床特征.方法于我院心内科收治的急性心肌梗死患者中随机选取 ST 段抬高型和非 ST 段抬高型各60例,对两组患者的基本情况和实验室检测数据进行对比.结果 STEMI 组中吸烟、持续性胸痛及并发心律失常的患者明显较 NSTEMI 组多;NSTEMI 组患者年龄、女性比例和糖尿病并发率均明显高于 STEMI 组;STEMI 组血肌酸激酶、肌酸激酶同工酶、肌钙蛋白Ⅰ水平均明显高于 NSTEMI 组;造影显示冠脉单支病变 NSTEMI 组明显较少,而三支病变则多于 STEMI 组;冠脉狭窄程度≤90%的患者 NSTEMI 组较多,而狭窄>90%者 STEMI 组更多;以上差异均具有统计学意义,P <0.05.结论 NSTEMI 患者年龄偏大,且好发于女性,临床症状较轻,化验检测结果严重程度低,且造影显示冠脉病变程度低,但有基础 TIMI 血流3级和存在侧支循环的比例较高.
目的對比非 ST 段抬高型急性心肌梗死(NSTEMI)與 ST 段抬高型急性心肌梗死(STEMI)的臨床特徵.方法于我院心內科收治的急性心肌梗死患者中隨機選取 ST 段抬高型和非 ST 段抬高型各60例,對兩組患者的基本情況和實驗室檢測數據進行對比.結果 STEMI 組中吸煙、持續性胸痛及併髮心律失常的患者明顯較 NSTEMI 組多;NSTEMI 組患者年齡、女性比例和糖尿病併髮率均明顯高于 STEMI 組;STEMI 組血肌痠激酶、肌痠激酶同工酶、肌鈣蛋白Ⅰ水平均明顯高于 NSTEMI 組;造影顯示冠脈單支病變 NSTEMI 組明顯較少,而三支病變則多于 STEMI 組;冠脈狹窄程度≤90%的患者 NSTEMI 組較多,而狹窄>90%者 STEMI 組更多;以上差異均具有統計學意義,P <0.05.結論 NSTEMI 患者年齡偏大,且好髮于女性,臨床癥狀較輕,化驗檢測結果嚴重程度低,且造影顯示冠脈病變程度低,但有基礎 TIMI 血流3級和存在側支循環的比例較高.
목적대비비 ST 단태고형급성심기경사(NSTEMI)여 ST 단태고형급성심기경사(STEMI)적림상특정.방법우아원심내과수치적급성심기경사환자중수궤선취 ST 단태고형화비 ST 단태고형각60례,대량조환자적기본정황화실험실검측수거진행대비.결과 STEMI 조중흡연、지속성흉통급병발심률실상적환자명현교 NSTEMI 조다;NSTEMI 조환자년령、녀성비례화당뇨병병발솔균명현고우 STEMI 조;STEMI 조혈기산격매、기산격매동공매、기개단백Ⅰ수평균명현고우 NSTEMI 조;조영현시관맥단지병변 NSTEMI 조명현교소,이삼지병변칙다우 STEMI 조;관맥협착정도≤90%적환자 NSTEMI 조교다,이협착>90%자 STEMI 조경다;이상차이균구유통계학의의,P <0.05.결론 NSTEMI 환자년령편대,차호발우녀성,림상증상교경,화험검측결과엄중정도저,차조영현시관맥병변정도저,단유기출 TIMI 혈류3급화존재측지순배적비례교고.
Objectives To compare the clinical characteristics of non ST segment elevation acute myocardial infarction (NSTEMI)and ST segment elevation acute myocardial infarction(STEMI). Methods 60 patients with NSTEMI and STEMI treated in our hospital were selected respectively. And comparing the basic condition of patients and laboratory test data. Results The number of patients with smoking, persistent chest pain and complicated with arrhythmia of group STEMI was more evidently than that of group NSTEMI. The age, proportion of women and occurrence of diabetes of group STEMI was more evidently than that of group NSTEMI. The level of serum creatine kinase, creatine kinase isoenzyme and cardiac troponin I of group STEMI was more evidently than that of group NSTEMI. Angiographically demonstrated coronary one-vessel stenosis of group NSTEMI was less significantly, but three vessel disease was more significantly compared with group STEMI. The patients with coronary artery stenosis degree ≤ 90% of group NSTEMI was more, but patients with coronary artery stenosis degree >90% of group STEMI was more. The difference above all had statistical significance, P<0.05. Conclusions The age of patients in group NSTEMI are older, prefer to women, and angiography reveals the extent of coronary lesions is low. But the proportion of basic TIMI grade 3 flow and collateral circulation is high.
