不同年龄急性心肌梗死患者冠脉造影及血管内超声特征研究

Different Age Patients with Acute Myocardial Infarction Coronary Angiography and Intravascular Ultrasound Characteristics' Research

目的对不同年龄阶段急性心肌梗死患者的冠脉造影和血管内超声特征进行观察,为临床治疗提供可靠依据。方法临床纳入本市200例2013年1月至2015年1月期间在我院行介入治疗的急性心肌梗死患者,其中55岁以下患者55例(设为低年龄组),145例患者年龄大于55岁(设为高年龄组),两组患者均行冠脉造影观察冠脉情况,在介入治疗前应用血管内超声技术观察20例低年龄组患者及45例高年龄组患者血管的管腔面积、斑块面积、斑块纤维帽的厚度、血管狭窄程度及是否有斑块破裂等发生。结果低年龄组患者中有吸烟史、酗酒史及家族史患者较为普遍,而在高年龄组患者中以基础疾病如高血压、糖尿病、COPD等多见,且低年龄组患者血管病变的几率和程度要高于高年龄组。结论急性心肌梗死是临床常见的心脏疾病,严重困扰患者生活,不同年龄阶段患者病变特征存在差异,提示临床不同年龄阶段治疗侧重点有所区别。

Objective Different age patients with acute myocardial infarction（ AMI）,coronary angiography（ CA） and intravascular ultrasound（ IU） characteristics observed. It provided reliable basis for treatment. Methods Interventional therapy 200 patients from 2013 January to 2015 January,55 patients under 55（ low age group,LAG）,145 patients older than 55（ high age group,HAG）,gave CA and observed with coronary condition. Before interventional therapy with IU observed 20 age group and 45 patients with HAG of blood vessels lumen area,patch area,patch fibrous cap thickness,degree of vessels stenosis. And if it had patch rupture occurred. Results LAG with history of smoking,alcoholism and family was more common. HAG diseases such as hypertension,diabetes,COPD saw more. LAG rate of vascular disease and degree higher. Conclusion AMI was a common clinical heart disease,serious problems of life with different ages with characteristic differences,suggested that treatment of different ages emphases differ.