摘要
目的:探讨老年人急性心肌梗死(AMI)的临床特征,以提高确诊率。方法:收集67例老年AMI住院患者,就其症状和证候进行回顾性分析。结果:男性患者46例(68.66%),女性患者21例(31.34%),老年男性的发病率高于老年女性,两者相比差异具有统计学意义(P<0.05);典型症状以典型心绞痛(38.81%)最为多见,其他依次为呼吸困难(28.36%)、胸闷(14.93%)、心悸(11.94%)、上腹部不适(5.97%);梗死部位以下壁(34.33%)最为多见,其他依次为前壁(26.87%)、广泛前壁(22.39%)、高侧壁(7.46%)、心内膜下(5.97%)、右室(2.99%);中医辨证分型以痰浊闭塞型(38.8%)最为多见,其他依次为气滞血瘀型(31.3%)、阳气虚型(22.3%)、阴血虚型(7.4%)。结论:老年AMI患者,以胸痛和呼吸困难为多见,梗死部位以下壁和前壁为多见,中医证型以实证为多。
Objective： To discuss clinical characteristics of acute myocardial infarction （AMI） in the elderly and improve the confirmation rate of diagnosis. Method： The information of 67 senile patients with AMI were col- lected, the symptoms and syndrome were retrospectively analyzed. Result： There were 46 males （68.66%） and 21 females （31.34%）, the incidence of AMI for elderly male patients was higher than elderly female patients, the differ- ence between both showed statistical meaning （P〈0.05）; typical angina （38.81%） was the most common symptom, others were dyspnea （28.36%）, chest stuffiness （14.93%）, palpitation （11.94%）; epigastric discomfort （5.97%）; the infarct area was mostly paries inferior（34.33%）, others were anterior wa11（26.87%）, extensive anterior wall （22.39%）, high lateral wall （7.46%）, subendocaridal layer （5.97%） and fight ventricle（2.99%）; The mostly common pattern was obstruction of phlegm-turbid （38.8%）, the next were stagnation of Qi and blood （31.3%）, deficiency of YangOi （22.3%）, deficiency of Yin blood （7.4%）. Conclusion： The mostly common symptoms of elderly patients with AMI are chest pain and dyspnea, the infarction areas are subendocaridal layer and anterior wall, the pattern is sthenia mostly.
出处
《西部中医药》
2013年第6期44-45,共2页
Western Journal of Traditional Chinese Medicine
关键词
心肌梗死
急性
临床特征
中医证型
myocardial infarction, acute
clinical characteristics
pattern
