中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
25期
26-28
,共3页
李丹%林海龙%顾宇%颜培实
李丹%林海龍%顧宇%顏培實
리단%림해룡%고우%안배실
青年女性%急性心肌梗死%危险因素
青年女性%急性心肌梗死%危險因素
청년녀성%급성심기경사%위험인소
Young women%Acute myocardial infarction%Risk factors
目的分析<46岁青年女性急性心肌梗死的临床及冠脉造影特点。方法166例急性心肌梗死的女性患者,按年龄分为青年女性组50例(<46岁)和老年女性组116例(47~80岁)。比较两组的临床特征及冠脉造影特点。结果青年女性组中高血压、糖尿病、吸烟、低密度脂蛋白胆固醇(LDL-C)偏高比例高于老年女性组(P<0.05),两组A型血型家族史、冠心病家族史比较差异无统计学意义(P>0.05);冠脉造影结果青年女性组多累及左前降支,其次为右冠状动脉,老年女性组多累及右冠状动脉;青年女性组单支病变多见,老年女性组多支病变多见。结论高血压、糖尿病、高脂血症、吸烟等是青年女性急性心肌梗死的重要危险因素,单支病变为主;改变生活方式、缓解压力、控制LDL-C达标是预防青年女性急性心肌梗死的重要措施。
目的分析<46歲青年女性急性心肌梗死的臨床及冠脈造影特點。方法166例急性心肌梗死的女性患者,按年齡分為青年女性組50例(<46歲)和老年女性組116例(47~80歲)。比較兩組的臨床特徵及冠脈造影特點。結果青年女性組中高血壓、糖尿病、吸煙、低密度脂蛋白膽固醇(LDL-C)偏高比例高于老年女性組(P<0.05),兩組A型血型傢族史、冠心病傢族史比較差異無統計學意義(P>0.05);冠脈造影結果青年女性組多纍及左前降支,其次為右冠狀動脈,老年女性組多纍及右冠狀動脈;青年女性組單支病變多見,老年女性組多支病變多見。結論高血壓、糖尿病、高脂血癥、吸煙等是青年女性急性心肌梗死的重要危險因素,單支病變為主;改變生活方式、緩解壓力、控製LDL-C達標是預防青年女性急性心肌梗死的重要措施。
목적분석<46세청년녀성급성심기경사적림상급관맥조영특점。방법166례급성심기경사적녀성환자,안년령분위청년녀성조50례(<46세)화노년녀성조116례(47~80세)。비교량조적림상특정급관맥조영특점。결과청년녀성조중고혈압、당뇨병、흡연、저밀도지단백담고순(LDL-C)편고비례고우노년녀성조(P<0.05),량조A형혈형가족사、관심병가족사비교차이무통계학의의(P>0.05);관맥조영결과청년녀성조다루급좌전강지,기차위우관상동맥,노년녀성조다루급우관상동맥;청년녀성조단지병변다견,노년녀성조다지병변다견。결론고혈압、당뇨병、고지혈증、흡연등시청년녀성급성심기경사적중요위험인소,단지병변위주;개변생활방식、완해압력、공제LDL-C체표시예방청년녀성급성심기경사적중요조시。
Objective To analyze clinical and coronary arteriography characteristics of acute myocardial infarction in young women <46 years old.Methods A total of 166 women patients with acute myocardial infarction were divided by their ages into young women group with 50 cases (<46 years old) and old women group with 116 cases (47~80 years old). Clinical and coronary arteriography characteristics were compared in the two groups.Results The young women group had higher proportion of hypertension, diabetes mellitus, smoking, and high low-density lipoprotein cholesterol (LDL-C) than the old women group (P<0.05). There were no statistically significant differences of family history of A blood type, and coronary heart disease between the two groups (P>0.05). Coronary arteriography results showed that the young women group had involved left anterior descending branch and right coronary artery lesion, and the old women group had common involved right coronary artery. Single vessel lesion was common in the young women group, while multiple vessels lesion was common in the old women group.Conclusion Important risk factors for acute myocardial infarction in young women include hypertension, diabetes mellitus, hyperlipidaemia, and smoking, with common lesion in single vessel. Modifying life style, relieving stress, and controlling qualified LDL-C are essential measures for prevention of acute myocardial infarction in young women.