医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
8期
1495-1497
,共3页
急性心肌梗死%年龄%男性%临床特点
急性心肌梗死%年齡%男性%臨床特點
급성심기경사%년령%남성%림상특점
Acute myocardial infarction%Age%Male%Clinical characteristics
目的:对比分析青年与老年男性急性心肌梗死( AMI)患者的临床特点。方法回顾性分析首都医科大学密云教学医院2010年6月至2013年6月收治的145例男性 AMI患者的临床资料,将145例患者按年龄分为青年组(≤43岁,74例)与老年组(≥60岁,71例),对两组患者临床特点进行综合比较。结果①首发症状:青年组典型心绞痛发生率显著高于老年组(64.9%比16.9%,P<0.01),心律失常和心力衰竭患者发生率显著低于老年组(17.6%比42.2%,9.5%比40.8%,P <0.01);②老年组住院时间显著高于青年组[(10.3±1.7) d 比(7.2±1.2) d,P<0.01];③青年组患者心率显著低于老年组[(75±12)次/min比(86±16)次/min,P<0.01],总胆固醇、三酰甘油、低密度脂蛋白胆固醇及载脂蛋白 B 均显著高于老年组[(4.5±1.0) mmol/L 比(4.1±0.7) mmol/L,(1.8±0.9) mmol/L 比(1.2±0.5) mmol/L,(2.6±0.9) mmol/L 比(2.1±0.8) mmol/L,(0.8±0.3) g/L比(0.6±0.1)g/L,P<0.01]。④高危因素:青年AMI患者多有吸烟、饮酒史,而在老年患者多合并基础疾病。结论老年男性AMI患者与青年男性 AMI患者的临床特点有较大区别,临床上应引起高度重视并尽早采取合理的治疗及干预措施。
目的:對比分析青年與老年男性急性心肌梗死( AMI)患者的臨床特點。方法迴顧性分析首都醫科大學密雲教學醫院2010年6月至2013年6月收治的145例男性 AMI患者的臨床資料,將145例患者按年齡分為青年組(≤43歲,74例)與老年組(≥60歲,71例),對兩組患者臨床特點進行綜閤比較。結果①首髮癥狀:青年組典型心絞痛髮生率顯著高于老年組(64.9%比16.9%,P<0.01),心律失常和心力衰竭患者髮生率顯著低于老年組(17.6%比42.2%,9.5%比40.8%,P <0.01);②老年組住院時間顯著高于青年組[(10.3±1.7) d 比(7.2±1.2) d,P<0.01];③青年組患者心率顯著低于老年組[(75±12)次/min比(86±16)次/min,P<0.01],總膽固醇、三酰甘油、低密度脂蛋白膽固醇及載脂蛋白 B 均顯著高于老年組[(4.5±1.0) mmol/L 比(4.1±0.7) mmol/L,(1.8±0.9) mmol/L 比(1.2±0.5) mmol/L,(2.6±0.9) mmol/L 比(2.1±0.8) mmol/L,(0.8±0.3) g/L比(0.6±0.1)g/L,P<0.01]。④高危因素:青年AMI患者多有吸煙、飲酒史,而在老年患者多閤併基礎疾病。結論老年男性AMI患者與青年男性 AMI患者的臨床特點有較大區彆,臨床上應引起高度重視併儘早採取閤理的治療及榦預措施。
목적:대비분석청년여노년남성급성심기경사( AMI)환자적림상특점。방법회고성분석수도의과대학밀운교학의원2010년6월지2013년6월수치적145례남성 AMI환자적림상자료,장145례환자안년령분위청년조(≤43세,74례)여노년조(≥60세,71례),대량조환자림상특점진행종합비교。결과①수발증상:청년조전형심교통발생솔현저고우노년조(64.9%비16.9%,P<0.01),심률실상화심력쇠갈환자발생솔현저저우노년조(17.6%비42.2%,9.5%비40.8%,P <0.01);②노년조주원시간현저고우청년조[(10.3±1.7) d 비(7.2±1.2) d,P<0.01];③청년조환자심솔현저저우노년조[(75±12)차/min비(86±16)차/min,P<0.01],총담고순、삼선감유、저밀도지단백담고순급재지단백 B 균현저고우노년조[(4.5±1.0) mmol/L 비(4.1±0.7) mmol/L,(1.8±0.9) mmol/L 비(1.2±0.5) mmol/L,(2.6±0.9) mmol/L 비(2.1±0.8) mmol/L,(0.8±0.3) g/L비(0.6±0.1)g/L,P<0.01]。④고위인소:청년AMI환자다유흡연、음주사,이재노년환자다합병기출질병。결론노년남성AMI환자여청년남성 AMI환자적림상특점유교대구별,림상상응인기고도중시병진조채취합리적치료급간예조시。
Objective To compare the clinical characteristics of youth and elderly male patients with acute myocardial infarction ( AMI ) .Methods Clinical data of 145 male patients with AMI admitted in Miyun Teaching Hospital of Capital Medical University from Jun .2010 to Jun.2013 were retrospectively ana-lysed,145 patients were divided into youth group(age≤43 years,74 cases) and elderly group(age≥60 years,71 cases) according to the age of patients,the clinical characteristics of two groups were compared. Results ①First symptom:incidence of typical angina in youth group was higher than that in elderly group (64.9%vs 16.9%,P<0.01),while incidences of arrhythmia and heart failure in elderly group were higher than those in youth group(17.6% vs 42.2%,9.5% vs 40.8%,P<0.01);②The hospitalization time in elderly group was more than that in youth group[(10.3 ±1.7) d vs (7.2 ±1.2) d,P<0.01];③Com-pared with the elderly group,heart rate of the youth group was significant lower[ (75 ±12) times/min vs (86 ±16) times/min,P<0.01],levels of total cholesterol,triacylglycerol,low-density lipoprotein cholesterol and apolipoprotein B of the youth group were significantly lower [(4.5 ±1.0) mmol/L vs (4.1 ±0.7) mmol/L, (1.8 ±0.9) mmol/L vs (1.2 ±0.5) mmol/L,(2.6 ±0.9) mmol/L vs (2.1 ±0.8) mmol/L,(0.8 ± 0.3) g/L vs (0.6 ±0.1) g/L,all P<0.01];④Risk factors:there was a larger proportion of smokers and drinkers in youth group,while there was a larger proportion of underlying diseases in elderly group.Conclu-sion There is great differences of the clinical characteristics between elderly male patients with AMI and young male patients with AMI,and it is worth paying great attention and applying reasonable treatment and interventions as early as possible in clinical .