不同年龄组急性心肌梗死患者危险因素对比分析

Analysis of Risk factors of Different Age Groups of Patients with Acute Myocardial Infarction

目的探讨不同年龄组急性心肌梗死患者危险因素的差异。方法随机入选135例急性心肌梗死患者，比较中青年（〈60岁）、老年（≥60岁）两组患者危险因素的差异。结果（1）两组组间吸烟、饮酒、阳性家族史、高血压病史、糖尿病病史差异有显著性（P〈0．05）。（2）中青年组甘油三酯（TG）水平明显高于老年组，两组间差异有显著性（P〈0．05）。结论（1）中青年急性心肌梗死患者以男性多发，吸烟、饮酒、家族史、高TG为区别于老年组的特征。（2）老年急性心肌梗死患者女性比例显著增加，高血压、糖尿病史是最主要的危险因素。（3）不良的生活饮食习惯和遗传因素促使冠心病提早发生。

Objective To explore the risk factors of different age groups of patients with acute myocardial infarction. Methods 135 patients with acute myocardial infarction （AMI） were randomly selected. The risk factors between youth and middle-aged group （ 〈 60y） and elderly group （ 1≥ 60y） were compared and the clinical data were retrospectively analyzed. Results （1） The differences of smoking and drinking habits, positive family history, hypertension history and diabetes history between the two groups were significant （P 〈 0.05）. （2） TG levels of the youth group were significantly higher than the elderly group （P 〈 0.05）. Conclusion （1） Youth and middle-aged group patients with AMI were mainly males who have smoking and drinking habits, family history and high TG. （2） Elderly group with AMI has seen an obvious increase in female patients with hypertension and diabetes. （3） Bad life style and genetic predisposition can speed the development of CHD.