各年龄段男性急性心肌梗死患者临床特征的对比分析

A comparative analysis of clinical characteristics of male patients with acute myocardial infarction in different ages

目的:对比分析各年龄段男性急性心肌梗死(Acute Myocardial Infarction, AMI)患者危险因素和冠状动脉病变特点等临床特征,为临床制定不同年龄段男性AMI防治策略提供理论依据。方法:收集并整理384例男性AMI患者的临床资料,根据发病年龄将其分为青年组(40例)、中年组(120例)、老年组(224例)。应用回顾性研究方法,记录并比较三组患者的入院血压、心率、身体质量指数(Body Mass Index,BMI)等一般资料、实验室指标及冠状动脉病变特征。结果:在三组患者中,发病人群以老年人为主(59%);三组患者入院症状、冠状动脉粥样硬化性心脏病(简称冠心病)家族史、糖化血红蛋白(Hemoglobin A1 c,HbA1C)水平等指标的差异存在统计学意义(P <0.05);三组病变在罪犯血管左回旋支(Left Circumflex,LCX)、发生三支病变及冠状动脉Gensini评分方面的差异存在统计学意义(P <0.05)。结论:不同年龄段男性AMI患者危险因素及冠状动脉病变特征存在明显差异。

Objective:To compare and analyze the clinical characteristics of male acute myocardial infarction(AMI)patients of different ages,including risk factors and coronary lesion characteristics.Methods:The clinical data of 384 male with clinically diagnosed AMI patients was collected and organized,and the patients were divided into the young group(40 cases),middle-aged group(120 cases),and elderly group(224 cases)according to the age of onset.Using a retrospective study method,this study recorded and compared the risk factors and coronary artery lesion characteristics of the enrolled AMI patients.Results:Among the three groups,the onset of the disease was still dominated by the elderly population(59%).Statistically significant differences existed in the levels of admission symptoms,family history of coronary artery disease,and HbA1C levels among the three groups(P<0.05).The lesions in the three groups were compared in terms of the offender’s vascular LCX,the occurrence of three-branch lesions,and the coronary artery Gensini score(P<0.05).Conclusion:There are significant differences in risk factors and coronary artery lesion characteristics of male AMI patients in different ages.