不同性别之间急性心肌梗死的临床特点分析

Clinical features of acute myocardial infarction between male and female

目的 :探讨不同性别之间急性心肌梗死 ( AMI)的临床特点。方法 :将 2 0 3例AMI患者按性别分为两组 :男性组 1 43例 ,女性组 60例 ,回顾性分析两组在年龄、心功能、白细胞计数 ( WBC)、心肌酶谱和血脂的差别。结果 :1男性组较女性组天门冬酸氨基转氨酶( AST)和肌酸激酶 ( CK)高 ,分别为 1 5 8.9± 1 45 .9U/L和 95 5 .5± 863.7U/L;83.9± 68.9U/L和 441 .8± 482 .2 U/L。两组比较有高度显著性差异 ( P<0 .0 0 1 ) ;2女性组较男性组发病平均年龄晚 1 0年 ( 73.4± 8.3vs62 .8± 1 2 .5岁 ) ,心功能差 ( 2 .2± 0 .8vs1 .8± 0 .8级 )、WBC增加 ( 1 0 .8± 4.5 vs8.9± 3.7× 1 0 9/L)、血脂紊乱明显。结论 :与男性相比 ,女性AMI患者一般年龄大 ,心功能差 ,WBC增加和血脂紊乱明显 ;而男性组较女性组心肌酶谱增高明显。

Objective: To discuss the clinical characteristics of acute myocardial infarction between male and female. Methods: 203 cases were divided in to two groups by sex,143 male and 60 females. to analyze their distinction in age, heart function, white cell count (WBC), cardiac enzymes and blood lipid. Results: ①Aspartate aminoransferase(AST) and creatine kinade(CK) were higher in male than female(158.9±145.9 U/L and 955.5±863.7 U/L, 83.9±68.9 U/L and 441.8 ±482.2 U/L,P< 0.001);②Female group was later in onset (73.4±8.3 vs 62.8±12.5 year), heart function was worse(2.2±0.8 vs 1.8±0.8 grade), WBC was higher(10.8±4.5 vs 8.9±3.7×10 9/L), and blood lipid disorder was more distinct. Conclusion: ①Cardiac enzymes were higher in male than in female. ②Compared with male group, female group was 10 years later in onset, and heart function was worse, WBC was higher, and blood lipid disorder was more distinct.