摘要
目的探讨急性心肌梗死(AMI)静脉溶栓治疗适应证的性别差异。方法依据121例AMI静脉溶栓治疗病人的临床资料作回顾性分析,比较男性、女性的溶栓效果、溶栓适应证相关条件及溶栓获益。结果与男性血管再通率(52.6%)比较,女性血管再通率(75.0%)较高(P<0.05),再闭塞率和4周病死率稍低(P<0.05)。结论AMI静脉溶栓治疗效果女性优于男性,女性比男性溶栓适应证的范围可适当放宽。
Objective To explore sexual differences in the indication of intravenous thrombolytie therapy in patients with acute myocardial infarction （AMI）. Methods The clinical data of 121 cases of AMI treated with intravenous thrombolytic therapy were analyzed retrospectively. The thrombolytic effects and the indication- related conditions and the thrombolytic profit were compared between the females and the males. Results The reperfusion rate of arteries in the females （75. 0%） was higher than in the males （52. 6%, P〈0. 05）. The reinfarction rate and the mortality in the first 4 weeks were something lower in the females than in the males （P 〈0. 05 ）. Conclusion Compared to the male patients, the effects of intravenous thrombolytic therapy in the female patients with AMI were better than in the male patients. The field of the indication can be properly relaxed in the females.
出处
《华中医学杂志》
2005年第5期364-365,共2页
Central China Medical Journal
