摘要
目的对比非ST段抬高型急性心肌梗死(NSTEMI)与ST段抬高型急性心肌梗死(STEMI)的临床特征。方法于我院心内科收治的急性心肌梗死患者中随机选取ST段抬高型和非ST段抬高型各60例,对两组患者的基本情况和实验室检测数据进行对比。结果 STEMI组中吸烟、持续性胸痛及并发心律失常的患者明显较NSTEMI组多;NSTEMI组患者年龄、女性比例和糖尿病并发率均明显高于STEMI组;STEMI组血肌酸激酶、肌酸激酶同工酶、肌钙蛋白Ⅰ水平均明显高于NSTEMI组;造影显示冠脉单支病变NSTEMI组明显较少,而三支病变则多于STEMI组;冠脉狭窄程度≤90%的患者NSTEMI组较多,而狭窄>90%者STEMI组更多;以上差异均具有统计学意义,P<0.05。结论 NSTEMI患者年龄偏大,且好发于女性,临床症状较轻,化验检测结果严重程度低,且造影显示冠脉病变程度低,但有基础TIMI血流3级和存在侧支循环的比例较高。
Objectives To compare the clinical characteristics of non ST segment elevation acute myocardial infarction（NSTEMI）and ST segment elevation acute myocardial infarction（STEMI）.Methods 60 patients with NSTEMI and STEMI treated in our hospital were selected respectively.And comparing the basic condition of patients and laboratory test data.Results The number of patients with smoking,persistent chest pain and complicated with arrhythmia of group STEMI was more evidently than that of group NSTEMI.The age,proportion of women and occurrence of diabetes of group STEMI was more evidently than that of group NSTEMI.The level of serum creatine kinase,creatine kinase isoenzyme and cardiac troponin I of group STEMI was more evidently than that of group NSTEMI.Angiographically demonstrated coronary one-vessel stenosis of group NSTEMI was less significantly,but three vessel disease was more significantly compared with group STEMI.The patients with coronary artery stenosis degree ≤ 90% of group NSTEMI was more,but patients with coronary artery stenosis degree 90% of group STEMI was more.The difference above all had statistical significance,P 0.05.Conclusions The age of patients in group NSTEMI are older,prefer to women,and angiography reveals the extent of coronary lesions is low.But the proportion of basic TIMI grade 3 flow and collateral circulation is high.
出处
《中国医药指南》
2012年第34期69-70,共2页
Guide of China Medicine
关键词
非ST段抬高型急性心肌梗死
ST段抬高型急性心肌梗死
临床特征比较
non-ST-segment elevation acute myocardial infarction
ST-segment elevation acute myocardial infarction
Clinical features
