中青年急性心肌梗死发生情况及高危因素分析

Analysis on the Occurrence of Acute Myocardial Infarction and Its High Risk Factors of Middle-aged and Young People

目的:探究中青年急性心肌梗死发生情况及高危因素。方法:选取大田县总医院2019年1月-2021年12月收治的200例中青年急性心肌梗死患者作为观察组,选择同时期的200例体检健康的同龄者作为对照组。比较两组的年龄、文化程度、婚姻状况、体重指数(BMI)、锻炼情况、饮酒指数、吸烟指数、早发冠心病家族史、糖尿病、高血压、高血脂、抑郁及焦虑结果,采用多因素Logistic回归分析中青年急性心肌梗死发生的影响因素。结果:两组的年龄、文化程度及婚姻状况比较,差异无统计学意义(P>0.05),而两组的BMI、锻炼情况、饮酒指数、吸烟指数、早发冠心病家族史、糖尿病、高血压、高血脂、抑郁及焦虑评分比较,差异有统计学意义(P<0.05),多因素Logistic回归分析显示,BMI、锻炼情况、饮酒指数、吸烟指数、早发冠心病家族史、糖尿病、高血压、高血脂、抑郁及焦虑均是中青年急性心肌梗死发生的影响因素(P<0.05)。结论:中青年急性心肌梗死发生的高危因素涉及方面较多,可将其影响因素作为防控措施制定的参考依据。

Objective:To investigate the occurrence situation of acute myocardial infarction and its high risk factors of middle-aged and young people.Method:A total of 200 patients of middle-aged and young with acute myocardial infarction treated in Datian County General Hospital fom January 2019 to December 2021 were chosen as the observation group,and 200 healthy persons of the same ages at the same time were chosen as the control group.Then the ages,education degree,marital status,body mass index(BMI),exercise condition,drinking index,smoking index,family history of premature coronary heart disease,diabetes mellitus,hypertension,hyperlipidemia,depression and anxiety of the two groups were compared,then the influence factors of occurrence of acute myocardial infarction of middle-aged and young people were analyzed with multivariate Logistic regression analysis.Result:The ages,education degree and marital status of two groups were compared,and there were no statistically significant differences(P>0.05).The BMI,exercise condition,drinking index,smoking index,family history of premature coronary heart disease,diabetes mellitus,hypertension,hyperlipidemia,depression and anxiety score of the two groups were compared,and the differences were statistically significant(P<0.05).The multivariate Logistic regression analysis showed the ages,BMI,exercise condition,drinking index,smoking index,family history of premature coronary heart disease,diabetes mellitus,hypertension,hyperlipidemia,depression and anxiety were the influence factors of occurrence of acute myocardial infarction of middle-aged and young people(P<0.05).Conclusion:The high risk factors of acute myocardial infarction of middle-aged and young people are involved in many aspects,and the influence factors can be as the reference basis for the formulation of prevention and control measures.