男女急性心肌梗死患者临床特点及经皮冠状动脉介入治疗的对比研究

The Clinical Features of Acute Myocardial Infarction Patients Between Men and Women and Comparison of Percutaneous Coronary Intervention Therapy for It

目的:探讨男女急性心肌梗死患者临床特点及经皮冠状动脉介入治疗的对比研究。方法:选择本院2005-09～2011-06因急性心肌梗死进行经皮冠状动脉介入治疗患者417例,男234例,女183例,统计临床表现、冠状动脉病变累及支数、急诊PCI成功率,住院病死率。结果:急性心肌梗死的2种临床类型分布在男性与女性差异无统计学意义,以ST段抬高心肌梗死为主。冠状动脉造影男性与女性均以3支病变为主(63.0%7 vs 0.6%,P=0.160),单支病变差异无统计学意义。男性双支病变明显多于女性(24.3%vs 13.7%,P=0.016),差异有统计学意义。累及部位、手术成功率和院内病死率差异无统计学意义(P>0.05)。结论:急性心肌梗死发生率高,通过探讨男女急性心肌梗死患者临床特点及经皮冠状动脉介入治疗的异同,有助于男女急性心肌梗死的发现、诊断及治疗,有助于其心血管并发症的预防。

Objective：To evaluatethe Clinical features of acute myocardial infarction patients between men and women and comparison of percutaneous coronary intervention therapy for it.. Methods：Select 417 cases including 234 men and 183 women of patients treated with percutaneous coronary intervention for acute myocardial infarction in the hospital from September 2005 one to June 2011 . Count the clinical manifestations , coronary artery lesions, primary PCI success rate and hospital mortality. Results：There were no gender difference in the two types of acute myocardial infarction. Mainly was ST - segment elevated myocardial infarction. Incidence of three - vessel lesion was similar in two groups （63.0% 7 vs 0. 6%, P = 0. 160 ） . There was no significant statistical difference in single - vessel disease, incidence of double - lesion was higher in men than women （24. 3% vs 13.7%, P = 0. 016 ） and there were significant statistical differences for it. There was no significant statistical difference in involved position, surgical success rate and hospital mortality. Conclusions：the incidence of acute myocardial infarction is very high,to evaluatethe Clinical features of acute myocardial infarction patients between men and women and comparison of percutaneous coronary intervention therapy for it, this may be helpful for the detection, diagnosis and treatment for men and women with acute myocardial infarction, and contributes to the prevention of its cardiovascular complications.