不同性别急性心肌梗死患者临床症状和院前延误的对比研究

Differences of symptoms and pre-hospital delay in AMI patients with different gender

目的:探讨不同性别急性心肌梗死(AMI)患者的临床发病特点和院前延误时间的差异。方法:采用自行设计的调查问卷对我院心内监护室(CCU)收治的100例急性心肌梗死患者的院前延误时间及临床资料进行收集,并依据性别不同将患者纳入两组。结果:与同期入院的男性患者相比,女性患者年龄偏大,糖尿病患病率高,疼痛症状和非疼痛症状较少,疼痛程度较低,两组比较差异有统计学意义(P<0.05),院前延误时间的差异无统计学意义(P>0.05)。结论:女性AMI患者临床症状不典型,应给予女性患者更多的关注,加强健康教育针对性。

Objective：To compare the symptom and pre-hospital delay between male and female with acute my- ocardial infarction. Method.. Clinical data were collected from 100 patients with AMI using patient＇s medical notes and semi--structured interviews. Patients were divided into two groups based on gender. Result： Female showed higher prevalence of diabetes and to be significantly more likely older than men （P〉0.05）. Compared with male, female expressed lower levels of pain,less pain and non-pain symptoms （P〈0. 05）. There were no differences in pre-hospitat delay between male and female （P〉0. 05）. Conclusion： Female＇s clinical characteristic of AMI is not typical and need more attention of doctor.