急性冠脉综合征患者临床特征分析

Analysis of Clinical Characteristics of Patients with Acute Coronary Syndrome

目的:观察并分析急性冠脉综合征(ACS)患者的临床特征。方法:选取2018年1—12月兰州市第一人民医院心血管内科收治的258例ACS患者为ACS组,选取同期就诊的120例非ACS患者为非ACS组,进行回顾性队列研究。统计ACS患者就诊月份分布特征及不同性别ACS患者的年龄分布特征,比较两组相关指标。结果:258例ACS患者月份分布特征显示,12月份就诊的ACS患者最多,1月份就诊的ACS患者最少。258例ACS患者中,男185例(71.71%),女73例(28.29%),男性显著多于女性,且各年龄段男性发病人数均多于女性;61~70岁患者比例最高,其次为71~80岁、51~60岁。两组心率、总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平比较,差异无统计学意义(P>0.05);ACS组男性比例高于非ACS组,女性比例低于非ACS组,年龄大于非ACS组,血压≥160/90 mmHg或<90/60 mmHg比例高于非ACS组,高密度脂蛋白胆固醇水平低于非ACS组,差异有统计学意义(P<0.05)。结论:ACS患者就诊月份、年龄、性别、血压、高密度脂蛋白胆固醇的临床特征比较明显。

Objective:To observe and analyze the clinical characteristics of patients with acute coronary syndrome(ACS).Methods:From January 2018 to December 2018,258 ACS patients admitted to the Department of Cardiovascular Medicine of the First People's Hospital of Lanzhou City were selected as the ACS group.A total of 120 non-ACS patients admitted during the same period were selected as the non-ACS group for retrospective cohort study.The distribution characteristics of visit month of ACS patients and the age distribution characteristics of ACS patients of different genders were counted,and the relevant indicators of the two groups were compared.Results:The month distribution characteristics of 258 ACS patients showed that,the number of ACS patients visited was the highest in December and the lowest in January.Among the 258 ACS patients,185 cases(71.71%)were males and 73 cases(28.29%)were females,and the number of males was significantly higher than that of females,and the number of affected males of all ages was higher than that of females.The proportion of patients aged 61-70 years was the highest,followed by 71-80 years and 51-60 years.There was no significant difference in the levels of heart rate,total cholesterol,triglycerides and lowdensity lipoprotein cholesterol between the two groups(P>0.05).The proportion of males in the ACS group was higher than that in the non-ACS group,the proportion of females in the ACS group was lower than that in the non-ACS group,the age in the ACS group was higher than that in the non-ACS group,the proportion of blood pressure≥160/90 mmHg or<90/60 mmHg in the ACS group was higher than that in the non-ACS group,and the proportion of high-density lipoprotein cholesterol in the ACS group was lower than that in the non-ACS group,and the difference was statistically significant(P<0.05).Conclusion:The clinical characteristics of ACS patients'visit months,age,gender,blood pressure,and high-density lipoprotein cholesterol are obvious.