脑力劳动者与体力劳动者心肌梗死预后观察和意义

Prognosis and significance of myocardial infarction on mental labourer and physical strength labourer

目的:探讨脑力劳动者和体力劳动者不同人群的心肌梗死的预后及影响因素。方法:选择符合心肌梗死诊断条件的脑力劳动者和体力劳动者各100例,分两组进行对比观察。结果:脑力劳动者与体力劳动者比较:脑力劳动者:①附壁血栓、乳头肌功能不全、心脏矛盾运动、室壁瘤发生率均明显增高(P<0.01)。②心律失常、心绞痛发生率明显增多(P<0.05)。③并发心力衰竭、再梗死、猝死发生率明显增高(P<0.05)。④左室射血分数(LVEF)值明显降低(P<0.01)。⑤工作、生活质量明显降低(P<0.05)。结论:体力劳动与活动,不仅可以降低心肌梗死的发生率,同时对心肌梗死患者的预后,提高患者生存质量有其积极的影响。

Objective ：To investigate the prognosis and related factor on myocardial infarction of mental labourer and physical strength labourer. Methods ： 100 cases were followed and analyzed as two groups on both mental labourer and physical strength labourer whom had been treated as myocardial infarction. Results： Comparison between mental labourer and physical strength labourer,the group of mental labourer ：①The morbidity of angina pectoris and heart＇s disgently movement and ventricular aneurysm had been increased（P〈0. 01）;②The morbidity of angina pectoris and heart＇s unnatural rhythm had been conspicuously increased（P〈0. 05）. ③The morbidity of heart failure and secondary myocardial infarction and sudden mors had been conspicuously increased （P〈0. 05）. ④The quality of work and life conspicuously reduced（P〈0. 05）. Conclusion： Physical strength labour and exercise can not also have an active effect on the prognosis of myocardial infarction and the patients＇s life quality.