中青年心肌梗死终稿.docVIP

中青年急性心肌梗死病因浅析 Correlative factors of actue myocardil infarction in young patients 作者：崔耀刚 吕小宁 作者单位：河南义煤集团总医院心内科 472300 【摘要】??目的?中青年急性心肌梗死(AMI)。方法?将例中青年AMI和同时期的例老年AMI患者进行对比，从两组的危险因素、性别差异、起病诱因等多方面进行比较。结果 ?中青年组吸烟两项危险因素明显高于老年组(P＜0.05)；高血压、糖尿病显著低于老年组(P＜0.01)；等危险因素两组未见明显差异。中青年组患者发病多有明确诱。结论?中青年AMI临床特点和危险因素与老年人群不同，防治重心不一样，青年人应广泛开展健康教育，积极改善生活方式。? Objective To analyze the correlative factors of actue myocardial infarction(AMI)in middle-aged and young patients(50 years). Methods collecting 58 cases of AMI whose ages 50 years and 126 cases of AMI whose ages 60 yeaes. Features of sex,risk factors and locations of infarction of the two groups were compared and analyzed. Results In AMI patients, the ratio of the group of middle-aged and young patients who have bad habits and smoking is significantly higher than the elder group (P 0.05); but the ratio of the group of middle-aged and young patients with hypertension and diabetes is significantly lower than the elder group ( P 0.01); No significant difference between the AMI patients with family history and adiposity in the two groups . Conclusion The clinical features and risk factors in middle-aged and young AMI patients are different from the elder AMI patients, so the keystone to prevent and treat should be different. Middle-aged and young people should improve lifestyle and be received with health education . 【关键词】??急性心肌梗死；中青年； 随着生活节奏加快和工作压力增大，中青年急性心肌梗死(AMI)的发病率有上升的趋势。研究分析中青年AMI的危险因素对早期防治有重要意义，本文将我院收治的例中青年AMI患者和同时期的例老年AMI患者进行对比分析，报告如下。????1??资料与方法????1.1??临床资料：所有入选病例均为我院200年月至20年月确诊AMI的住院患者。依据年龄分为两组：中青年组(岁)例，男例，女例，平均年龄(37±7)岁；老年组(岁)1例，男例，女例，平均年龄(6±8)岁。AMI的诊断参考中华医学会心血管病分会2001年制定的AMI诊断标准［1］。两组均经冠状动脉造影证实。病变累及有左主干、左前降支、左回旋支、右冠脉其中三支或三支以上病变者为多支病变。????1.2??方法：分析两组患者的传统和新危险因素，对两组的性别差异、起病诱因、发病特点、心电图、造影结果、并发症等分别进行对比分析。????1.3??统计学方法：所有数据均采用SPSS10.0统计软件包进行分析处理，计数资料采用χ2检验，P＜0.05为差异有统计学意义。????2??结果????2.1??冠心病危险因素比较：见表1。冠心病吸烟两项因素对比，中青年组明显高于老年组(P＜0.01)；高血压、糖尿病中青年组低于老年组(P＜0.01)；两组比较差异无统计学意义(P＞0.05)。表1??两组——————————————————