40岁以下与60岁以上急性心肌梗死患者临床特点对比研究
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摘要
目的探讨40岁以下与60岁以上急性心肌梗死患者临床特点对比。方法随机选取该院2013年5月—2016年2月期间收治的小于40岁急性心肌梗死患者资料作为青年组(40例)和大于60岁的患者作为老年组(40例)进行对比分析,并观察两组患者发病危险因素和并发症发生率。结果青年组诱发因素中家族史、吸烟、酗酒、高血脂分别为25.0%、72.5%、50.0%、42.5%,老年组分别为:55.0%、37.5%、27.5%、25.5%,可见青年组发因素中家族史、吸烟、酗酒、高血脂明显高于老年组,差异有统计学意义(P<0.05);老年组心力衰竭、低血压、严重性心律失常、死亡等并发症发生率分别为37.5%、45.0%、37.5%、17.5%明显高于青年组10.0%、15.0%、10.0%、5.0%的相应的并发症率,差异有统计学意义(P<0.05)。结论老年急性心肌梗死相对于40岁以上的心肌梗死患者临床症状不典型,发病率和死亡率均较高。
Objective To investigate the age of 40 compared with the more than 60 years of clinical features of acute myocardial infarction. Methods Random selected in our hospital in May 2013 to February 2016 were less than 40 years of age with acute myocardial infarction were enrolled in this study as a youth group(40 cases) and greater than 60 patients as age group(40 cases) were compared and analyzed, and to observe the two groups of patients with risk factors and complications incidence. Results Youth group inducing factors of family history, smoking, alcoholism, high blood lipid were 25.0%,72.5%, 50.0%, 42.5%, in the elderly group were 55.0%, 37.5%, 27.5% and 25.5%, visible youth group factors in family history, smoking, alcoholism, high blood lipid was significantly higher than that of the aged group, with statistical significance(P <0.05); group of elderly heart failure, hypotension, and severe cardiac arrhythmias, death and other complication rates were 37.5%, 45.0%, 37.5%, 17.5% was significantly higher than that of the youth group 10.0%, 15.0%, 10.0%, 5.0%of the corresponding complications rate, with statistical significance(P <0.05). Conclusion The elderly patients with acute myocardial infarction with spect to the clinical symptoms of myocardial infarction in patients over the age of 40 are not typical,morbidity and mortality are high.
Objective To investigate the age of 40 compared with the more than 60 years of clinical features of acute myocardial infarction. Methods Random selected in our hospital in May 2013 to February 2016 were less than 40 years of age with acute myocardial infarction were enrolled in this study as a youth group(40 cases) and greater than 60 patients as age group(40 cases) were compared and analyzed, and to observe the two groups of patients with risk factors and complications incidence. Results Youth group inducing factors of family history, smoking, alcoholism, high blood lipid were 25.0%,72.5%, 50.0%, 42.5%, in the elderly group were 55.0%, 37.5%, 27.5% and 25.5%, visible youth group factors in family history, smoking, alcoholism, high blood lipid was significantly higher than that of the aged group, with statistical significance(P <0.05); group of elderly heart failure, hypotension, and severe cardiac arrhythmias, death and other complication rates were 37.5%, 45.0%, 37.5%, 17.5% was significantly higher than that of the youth group 10.0%, 15.0%, 10.0%, 5.0%of the corresponding complications rate, with statistical significance(P <0.05). Conclusion The elderly patients with acute myocardial infarction with spect to the clinical symptoms of myocardial infarction in patients over the age of 40 are not typical,morbidity and mortality are high.
引文
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[2]熊丹,杨天伦,张琼,等.青年急性心肌梗死患者的临床特点[J].中南大学学报:医学版,2014(4):361-364.
[3]黎音亮,胡嘉禄,颜彦,等.冠状动脉左主干(LMCA)完全闭塞致急性心肌梗死(AMI)25例临床分析[J].复旦学报:医学版,2015,42(1):66-71.
[4]邹德玲,陈艳丽,耿宁,等.急性心肌梗死并发室间隔穿孔的临床特点及短期预后分析[J].中国医科大学学报,2013,42(11):1028-1031.
[5]徐家梁,蒋廷波.气温骤变期急性心肌梗死患者的临床特点及近期预后[J].浙江临床医学,2015,17(12):2127-2128.
[6]肖平喜,柳剑,高应东,等.中青年与老年急性ST段抬高心肌梗死冠状动脉内自发性再通患者的临床特点比较[J].中国急救医学,2015(12):1100-1102.
[7]陈润祥.50岁以下中青年急性心肌梗死患者的冠状动脉病变特征及临床特点[J].河北医学,2012,18(11):1597-1599.
[8]张卫玲,秦中胜,潘三葱,等.45岁以下冠心病患者临床和冠状动脉造影特点分析[J].中西医结合心脑血管病杂志,2011,28(4):389-391.