摘要
目的探讨老年急性心肌梗死（AMI）患者的临床特点。方法回顾性分析2013年12月-2015年6月辽宁省金秋医院心血管内科收治的87例临床确诊的初发AMI患者，依年龄分为老年组（≥60岁）47例和非老年组（〈60岁）40例。对比两组患者临床表现、并发症、生化检查指标以及冠脉病变特点。结果老年组女性比例、伴发高血压、糖尿病比例高于非老年组；老年组吸烟、血脂异常比例低于非老年组，差异均有统计学意义（P〈0．05）。老年组患者冠脉病变以三支多见，并发症多，预后差；非老年组患者以单支病变为主，并发症少，预后好。结论老年AMI患者中，女性占比升高，多伴发糖尿病或高血压，预后差，应有针对性地制定治疗方案。
Objective To investigate the clinical characteristics of acute myocardial infarction （AMI） in elderly patients. Methods Eighty-seven cases of newly diagnosed AMI Patients admitted to Department of Cardiology in Jinqiu Hospital of Liaoning Province from December, 2013 to June, 2015 were analyzed retrospectively. The patients were divided into elderly group （≥60 years old） with 47 cases in the group and non-elderly group （〈60 years old） with 40 cases in the group. Clinical manifestations, complications, biochemical examination indexes and characteristics of coronary artery lesions of patients of two groups were compared. Results The proportion of women, the incidence of hypertension and the incidence of diabetes in the elderly group were significantly higher than those in the non-elderly group, and smoking proportion and the proportion of abnormal blood lipid in the elderly group was significantly lower than those in the non-elderly group. The differences were statistically significant （P 〈 0.05）. The most common coronary lesions of elderly patients were triple coronary lesions with many complications and poor prognosis, while the lesions of non-elderly group were mainly single vessel lesions with few complications and good prognosis. Conclusion The proportion of women in the elderly AMI patients has increased and the patients are usually accompanied by hypertension and diabetes with poor prognosis. The treatment plan is supposed to be made pertinently.
作者
洪飞
汪磊
HONG Fei WANG Lei(Department of Cardiology, Jinqiu Hospital of Liaoning Province, Shenyang 110016, China Department of Geriatric Medicine, Jinqiu Hospital of Liaoning Province)
出处
《中国实用乡村医生杂志》
2017年第4期46-48,共3页
Chinese Practical Journal of Rural Doctor
关键词
心肌梗死
急性
老年
临床特征
危险因素
Myocardial Infarction
Acute
Old Age
Clinical Characteristics
Risk Factors
