老老年人群急性脑心联合梗死的回顾性分析

The Retrospective Analysis of Senile Elderly Patients with Acute Brain Heart Jointing Infarction

目的探讨老老年患者急性脑梗死合并急性心肌梗死的发病情况、预后及影响因素。方法回顾分析十年间急性脑梗死住院病例资料,观察老老年组、老年组脑心联合梗死与单一脑梗死临床相关指标。结果老老年脑梗死717例中脑心联合梗死发生率、死亡率(2.09%、53.33%)比普通老年联合梗死组(0.42%、14.29%)更高,差异有统计学意义(P<0.01)。老老年组在男性、上消化道出血、梗死后出血转化、糖尿病、既往心肌梗死史、高脂血症、高血压发生率稍高,但与老年组比较差异无统计学意义(P>0.05),而心房颤动(40.00%)、既往脑卒中史发生率(66.67%)高于老年脑心联合梗死组,差异有统计学意义(P<0.05)。结论老老年组脑心联合梗死预后差,院前加强危险因素的控制措施,住院后采取积极治疗措施可改善结局。

Objective To explore the incidence of senile elderly patients（SEPs） suffering from acute myocardial infarction （AMI） fol- lowing acute ischaemic stroke（AIS）and to analyse prognosis and impact factors. Methods Cases hospitalized with AIS over the past decade were collected and classified into two groups according to the different age and joint infarction. Results 717 cases of SEPs were enrolled. Compared with the control group（0.42%; 14.29%）, SEPs had a higher co-morbidity and mortality（2.09%; 53.33 % ）. The incidence of male, upper gastrointestinal bleeding, Bleeding after Infarction, Diabetes Mellitus, remote myocardial infarction, Hyperlipidemias and Hypertension were mild higher than the control, but there was no statistical significance（ P 〉 0.05）. The incidence of atrial fibrillation（40.00 % ）, remote ischaemic stroke（66.67 % ） were associated with SEPs joint infarction. Conclu- sions SEPs with joint infarction would have poor Endings. Positive control measures may improve outcome.