摘要
目的:分析近7年来北京西部地区急性心肌梗死的临床流行病学特点。方法:回顾性分析了解放军总医院1996-01-01/2002-12-31符合急性心肌梗死诊断标准住院患者的病历资料。记录患者的年龄、梗死部位、每年的患患者数以及1年中各月份的患者数量等临床流行病学特征。结果:共有1778例,男1483例,女295例。60～80岁为急性心肌梗死多发年龄,占全部病例的58.27%;40岁以下病例占3.26%。女性从50岁以后发患者数迅速增加,各年龄段男性病例数都远高于女性。病死率随增龄增加,80岁以上患者死亡率最高为24.44%。梗死部位以左室前部心肌梗死为主,占42.69%,后壁最少仅2.76%。7年来,每年发患者数都在增加,2002年比1996年增加116%,病死率从17.47%降到10.31%。将所有病例按2个月为1个单位分组,在3,4月份和11,12月份发患者数最高,而其他月份较少。结论:急性心肌梗死多发于老年,男性远多于女性,并且病死率随增龄而增加。7年来发病率增加,病死率降低,急性心肌梗死高发于秋冬或冬春交替时节。掌握急性心肌梗死的临床流行病学特点有助于急性心肌梗死患者的一、二级预防与临床康复。
AIM:To study clinical epidemiology features of acute myocardial infarction in 7 years in western part of Beijing. METHODS:The medical history of 1 778 inpatients (in the General Hospital of the PLA) with acute myocardial infarction(AMI) during 1996 01 01 to 2002 12 31 were retrospectively analyzed. The patients' age, infarct locus,the number of patients in every year and every month and clinical epidemiology features were recorded. RESULTS:The patients (males, 1483 cases; females, 295 cases) from 61 to 80 year old accounted for 58.27%of the 1 778 patients, which were the dangerous ages for acute myocardial infarction. On the other hand, 3.26%of the all patients were only younger than 40 year old. Although the females sufferring from acute myocardial infarction increased rapidly after their 50 yrs, the males were much more than the females. The fatality rate of AIM increased with the aging and the people more than 80 year old had the highest fatality rate as 24.44%. The most infarction positions located the anterior walls of the left ventricular with the 42.69%of the 1 778 patients and the number of posterior infarctions was the least with 2.76%. The amount of patients in 2002 rised 116%compared with that in 1996, but the fatality rate reduced from 17.5%to 10.3%.There were the most patients of AMI during March and April or during November and December rather than during other months.
出处
《中国临床康复》
CSCD
2003年第30期4082-4083,共2页
Chinese Journal of Clinical Rehabilitation
关键词
北京
西部地区
急性心肌梗死
流行病学
1996-01-01~2002-12-31
Senile men are the population with the greater risk of acute myocardial infarction than the other ones. The incidence rate of acute myocardial infarction has augmented during the seven years, but the fatality rate of the disease has been reduce
