哈萨克族青年人急性心肌梗死病变的临床研究

Clinical study of Kazakh young patients with acute myocardial infarction

目的探讨不同性别的哈萨克族青年人急性心肌梗死冠状动脉病变临床特点及影响因素。方法观察并比较分析临床上确诊的56例哈萨克族男女青年人急性心肌梗死患者冠状动脉病变特点及危险因素。结果不同年龄患者的急性心肌梗死冠状动脉病变状况比较,差异有统计学意义(χ2=10.202,P=0.037)。男、女患者的血脂异常、原发性高血压(高血压)及吸烟患者比例比较,差异有统计学意义(血脂异常:χ2=4.134,P=0.042;高血压:χ2=6.720,P=0.010;吸烟:χ2=23.126,P<0.0001)。结论急性心肌梗死患者病变累及主要冠状动脉的支数随着患者年龄的升高而增多。男性急性心肌梗死患者与女性患者的冠状动脉病变在血脂异常、高血压及吸烟危险因素中明显不同。因此,我们要针对不同性别的患者制定不同的方案。

Objectives To analyze the clinical characteristics and risk factors of acute myocardial infarction in different genders of Kazakh young patients. Methods Data of 56 Kazakh young patients diagnosed with acute myocardial infarction were collected and the clinical characteristics and risk factors were observed and compared. Results There were statistical differences in the pathology of acute myocardial infarction among patients with different ages（X2= 10.202, P=0.037）. Risk factors including dyslipidemia, hypertension and smoking were statistically different in different gender groups （dyslipidemia ： X2 =4.134, P=0.042 ; hypertension ： X2=6.720, P=0.010 ; smoking ： X2=23.126, P〈0.0001 ）. Conclusions With the increase of age, the number of lesions involved in the major coronary arteries also shows an increase. The risk factors of myocardial inthrction, including dyslipidemia, hypertension and smoking, are different from male to female patients. We should make different plans for patients with different genders.