中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
18期
46-48
,共3页
青年%急性心肌梗死%影响
青年%急性心肌梗死%影響
청년%급성심기경사%영향
Youth%Acute myocardial infarction%Influence
目的：探讨汕头市青年急性心肌梗死（AMI）患者的临床特征及其影响因素。方法：选取本院2012年1月-2014年12月进入汕头地区各综合医院冠脉造影诊断AMI青年患者128例（≤45岁）为观察组和AMI老年患者316例（≥65岁）为对照组，分析青年AMI临床特征和影响因素。结果：观察组AMI发病率为25.10%，明显低于对照组的61.96%，两组比较差异有统计学意义（χ2=8.19，P<0.05）；其中观察组以AMI首发症状和典型胸痛多见，而以心功能不全、心律失常和心源性休克少见，与对照组比较差异有统计学意义（P<0.05）；观察组平均累及冠脉（1.13±0.21）支，明显低于对照组的（2.18±0.46）支，且病变冠脉累及左主干较少见，两组比较差异有统计学意义（P<0.05）；男性、吸烟、酗酒、阳性家族史、情绪激动和剧烈运动的青年AMI发生率明显高于老年AMI发生率，而合并高血压、糖尿病的青年AMI发生率明显低于老年AMI发生率，两组比较差异有统计学意义（P<0.05）。结论：青年AMI胸痛症状典型，累及冠脉支数较少，对于阳性家族史的男性人群，改掉不良习惯有助于降低疾病发生风险。
目的：探討汕頭市青年急性心肌梗死（AMI）患者的臨床特徵及其影響因素。方法：選取本院2012年1月-2014年12月進入汕頭地區各綜閤醫院冠脈造影診斷AMI青年患者128例（≤45歲）為觀察組和AMI老年患者316例（≥65歲）為對照組，分析青年AMI臨床特徵和影響因素。結果：觀察組AMI髮病率為25.10%，明顯低于對照組的61.96%，兩組比較差異有統計學意義（χ2=8.19，P<0.05）；其中觀察組以AMI首髮癥狀和典型胸痛多見，而以心功能不全、心律失常和心源性休剋少見，與對照組比較差異有統計學意義（P<0.05）；觀察組平均纍及冠脈（1.13±0.21）支，明顯低于對照組的（2.18±0.46）支，且病變冠脈纍及左主榦較少見，兩組比較差異有統計學意義（P<0.05）；男性、吸煙、酗酒、暘性傢族史、情緒激動和劇烈運動的青年AMI髮生率明顯高于老年AMI髮生率，而閤併高血壓、糖尿病的青年AMI髮生率明顯低于老年AMI髮生率，兩組比較差異有統計學意義（P<0.05）。結論：青年AMI胸痛癥狀典型，纍及冠脈支數較少，對于暘性傢族史的男性人群，改掉不良習慣有助于降低疾病髮生風險。
목적：탐토산두시청년급성심기경사（AMI）환자적림상특정급기영향인소。방법：선취본원2012년1월-2014년12월진입산두지구각종합의원관맥조영진단AMI청년환자128례（≤45세）위관찰조화AMI노년환자316례（≥65세）위대조조，분석청년AMI림상특정화영향인소。결과：관찰조AMI발병솔위25.10%，명현저우대조조적61.96%，량조비교차이유통계학의의（χ2=8.19，P<0.05）；기중관찰조이AMI수발증상화전형흉통다견，이이심공능불전、심률실상화심원성휴극소견，여대조조비교차이유통계학의의（P<0.05）；관찰조평균루급관맥（1.13±0.21）지，명현저우대조조적（2.18±0.46）지，차병변관맥루급좌주간교소견，량조비교차이유통계학의의（P<0.05）；남성、흡연、후주、양성가족사、정서격동화극렬운동적청년AMI발생솔명현고우노년AMI발생솔，이합병고혈압、당뇨병적청년AMI발생솔명현저우노년AMI발생솔，량조비교차이유통계학의의（P<0.05）。결론：청년AMI흉통증상전형，루급관맥지수교소，대우양성가족사적남성인군，개도불량습관유조우강저질병발생풍험。
Objective:To investigate the clinical characteristics and influence factors of young acute myocardial infarction (AMI) in Shantou City.Method:AMI diagnosed by coronary angiography were selected in our hospital from January 2012 to December 2014 during the new entrants to Shantou area hospital,128 patients with AMI of age≤45 years old were selected as observation group and 316 elderly patients with AMI of age≥65 years old were selected as control group,clinical characteristics and influential factors of young AMI were analyzed.Result:The AMI incidence of observation group was 25.10%,which was significantly lower than 61.96% of control group,the difference was statistically significant( χ2=8.19,P<0.05);AMI first symptoms and typical chest pain of observation group were much more,heart failure,arrhythmia and carcinogenic shock were significantly less,the differences were statistically significant(P<0.05);the average involving coronary of observation group was(1.13±0.21),which was significantly lower than (2.18±0.46) of control group,and left main coronary lesions involving was significantly less than control group,the differences were statistically significant(P<0.05);the incidence rate of male, smoking,drinking,positive family history,emotional and dramatic movement for youth AMI were significantly higher than elderly AMI,while the incidence rate with hypertension and diabetes were significantly lower than elderly AMI,the differences were statistically significant(P<0.05).Conclusion:Young AMI chest pain typical symptoms,involving coronary is less,and for positive family history men,getting rid of bad habits helps to reduce the occurrence of disease risk.
