30～50岁男性急性心肌梗塞的临床特点研究

Clinical Characteristics of Acute Myocardial Infarction in Men Aged 30～50 Years

目的：研究青年男性急性心肌梗塞的临床特点,为早发冠心病预防提供方向。方法：选取某院30例2013年1月~2016年1月收治的青年男性急性心肌梗塞患者为观察组及同期60例中老年男性急性心肌梗塞患者作为对照组,回顾性分析两组患者临床特点。结果：观察组饮酒、烟史、疲劳或精神紧张患者显著高于对照组（P〈0.05）;在冠脉造影特点上,观察组冠脉病变程度显著轻于对照组（P〈0.05）;高敏C反应蛋白显著高于老年组,差异具有统计学意义。结论：与老年男性相比,吸烟、高血压病史、高血脂是30~50岁男性AMI患者危险因素,冠脉病变以单支病变为主,应对其加强冠心病一级预防,改善预后。

Objective：To study the clinical characteristics of acute myocardial infarction in young men,and to provide the direction for the prevention of premature coronary heart disease.Methods：30cases with acute myocardial infarction treated in our hospital from January 2013 to January 2016 were taken as the observation group and the same period 60 cases in elderly male patients with acute myocardial infarction patients as control group,whose data were retrospectively analyzed.Results：In the observation group,drinking,smoking history,fatigue and psychiatric tension in patients was significantly higher than those of the control group（P0.05）;on the characteristics of coronary angiography,severity of coronary artery disease of the observation group was lighter than that of the control group（P0.05）;high sensitive C-reactive protein（hs CRP）of the observation group was significantly higher than that of the aged group.The difference was statistically significant.Conclusion：Compared with the older men,smoking,hypertension,hyperlipidemia,is30~50years old male patients with AMI risk factors,coronary artery disease with single branch lesion should strengthen its primary prevention of coronary heart disease and improve the prognosis.