青年与老年人急性心肌梗死临床特点对照分析

Comparison of Clinical Features of Young and Elderly Acute Myocardial Infarction

目的:观察青年急性心肌梗死(AMI)临床特点,并探讨其病因及预后。方法:从危险因素、临床特征等方面进行回顾性综合分析62例青年AMI,并与同期随机抽取的95例老年AMI患者进行对比。结果:青年组AMI以男性为主,吸烟、阳性家族史高于老年组(P<0.01);高脂血症与老年组相近(P>0.05);与老年组相比,青年组AMI多有明确诱发因素(P<0.01),其胸痛症状典型(P<0.05),并发症少,再灌注治疗效果好。结论:吸烟、高脂血症、冠心病家族史是青年AMI的最主要危险因素,降脂、戒烟及养成良好工作和生活习惯是降低青年AMI发病率的根本措施,青年AMI再灌注治疗效果好。

Objective：To observe clinical characteristics of the youth acute myocardial infarction（AMI）,and discuss its causes and prognosis.Methods：The risk factors,clinical features of 62 cases of young AMI were analysed,and compared with 95 elderly patients with AMI.Results：Male AMI patients were more for youth than for elderly.Patients of smoking and a positive family history were moer for the youth than for the elderly（P0.01）,while hyperlipidemia was near for two groups（P0.05）.AMI had clear causative factors,typical chest pain symptoms,less complications,and good reperfusion therapy effect for the youth（P0.05）.Conclusion：Smoking,hyperlipidemia,family history of coronary heart disease is the most main risk factors of AMI youth.Falling fat,quiting smoking and developing good work and life habit is fundamental measures to reduce the incidence of youth AMI,and reperfusion therapy has a good effect for youth AMI patients.