摘要
目的探讨高血压合并急性ST段抬高型心肌梗死患者的临床特点及近期预后。方法选取急性ST段抬高型心肌梗死患者734例，按是否合并高血压分为高血压组和对照组，高血压组332例，对照组302例。比较高血压组和对照组患者人口学指标、临床指标、合并症和病死率。结果两组患者年龄、是否吸烟、高脂血症史、高血压家族史比较，差异有统计学意义（P〈0．05）。两组患者入院时心率、三酰甘油（TG）和血小板比较，差异有统计学意义（P〈0．05）。高血压组左心室肥厚、梗死后心绞痛、泵衰竭、心律失常、住院天数和住院病死率高于对照组。结论高血压合并急性ST段抬高型心肌梗死患者具有独特的临床特点，其疾病不良预后发生率更高，临床上应针对高血压合并急性ST段抬高型心肌梗死患者提供针对性的治疗和预后随访。
Objective To investigate the clinical features and recent prognosis of hypertensive patients with acute ST segment elevation myocardial infarction. Methods A total of 734 patients with acute ST segment elevation myocardial infarction were selected. According to whether or not to combined hypertension, the patients were divided into hypertension group and control group, 332 cases in hypertension group and 302 cases in control group. The characteristics of demographic indicators, clinical indicators, complications and mortality of patients with hypertension and control group were compared. Results There were statistically significant differences between the two groups in age, smoking, history of hyperlipidemia and family history of hypertension （P 〈 0. 05 ）. The rates of heart rate, TG and platelet on admission in the two groups were statistically significant （ P 〈 0. 05 ）. Left ventricular hypertrophy, post infarction angina, pump failure, arrhythmia, hospitalization days and in-hospital mortality in hypertension group were higher than those in control group. Conclusions The hypertensive patients with acute ST segment elevation myocardial infarction have unique clinical characteristics, and the incidence of ill prognosis is higher. Clinically, patients of hypertension complicated with acute ST segment elevation myocardial infarction should be provided with targeted treatment and prognosis follow-up.
作者
张文媛
苏怀玲
李滨
贾治生
Zhang Wenyuan;Su Huailing;Li Bin;Jia Zhisheng(Department of Cardiology, the Fifth People＇s Hospital of Jinan, Jinan 250000, Chin)
出处
《中国实用医刊》
2018年第12期39-42,共4页
Chinese Journal of Practical Medicine
关键词
高血压
ST段抬高型心肌梗死
临床特征
预后
Hypertension
ST segment elevation myocardial infarction
Clinical features
Prognosis
