心绞痛病程时间对急性心肌梗死预后的影响分析及研究.docVIP

精品论文 参考文献 心绞痛病程时间对急性心肌梗死预后的影响分析及研究 于业民（辽宁省大连市中山区人民医院循环内科 116001） 【中图分类号】R541.4 【文献标识码】A【文章编号】1672-5085（2013）08-0113-02 【摘要】 目的 探讨心绞痛病程时间对急性心肌梗死预后的影响。方法 选取106例初发急性ST段抬高的心肌梗死患者，根据梗死前心绞痛病程时间分为长期心绞痛组A组（疼痛时间gt;30天）和短期心绞痛组B组（疼痛时间lt;30天），比较两组患者合并症及并发症，随访1年内心血管事件的发生率。结果　A组患者合并高血压病、糖尿病显著高于B组（Plt;0.05），两组患者合并高脂血症无统计学差异。B组患者并发心力衰竭、心源性休克显著高于A组（Plt;0.05），两组患者的心律失常无显著性差异。随访1年内A组患者心血管事件的发生率明显高于B组（Plt;0.05）。结论　长期心绞痛患者合并症较多，左心功能优于短期心绞痛患者，但远期预后较差。 【关键词】 心绞痛 急性心肌梗死 预后 【Abstract】 Purpose Explore the impact on the prognosis of patients with acute myocardial infarction angina duration of time.Method Selected 106 patients with newly diagnosed acute ST-segment elevation myocardial infarction patients, according to the duration of time is divided into Group A long-term angina (pain durationgt; 30 days) and short-term the angina group B group (pain lt;30 days) pre-infarction angina, comparecomplications of two groups of patients were followed up for 1 year the incidence of cardiovascular events.Result Group A patients with hypertension, diabetes was significantly higher than that in group B (P lt;0.05), the two groups of patients with hyperlipidemia was no significant difference. Group B patients with heart failure, cardiogenic shock was significantly higher than that in group A (P lt;0.05), no significant difference in the two groups of patients with the arrhythmia. Followed up for 1 year the incidence of cardiovascular events in patients in group A was significantly higher than that in group B (P lt;0.05).Conclusion The more long-term angina patients with comorbidities, left ventricular function better than the short-term angina patients, but the long-term prognosis is poor. 【Key words】 Angina Acute myocardial infarction Prognosis 近年来，随着我国人民生活水平的提高，营养条件的改善，以及人口逐渐步入老龄化，冠状动脉粥样硬化性心脏病（简称冠心病）患者在逐年增加，是严重威胁全人类健康的重要疾病。冠心病常见的临床表现是心绞痛。在临床上，大约有50%-60%的急性心肌梗死（AMI）患者在发病前有心绞痛病史[1]。许多文献报道，梗死前心绞痛病史对AMI患者的转归、预后有重要的预测价值。我们对106例初发急性ST段抬高的心肌梗死患者的临床资料进行分析，探讨梗死前心绞痛病程时间对急性心肌梗死患者预后的影响，现报道如下。