女性急性心肌梗死特点和其相关危险因素探析

《女性急性心肌梗死特点和其相关危险因素探析》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、女性急性心肌梗死特点和其相关危险因素探析doi：10.3969/j.issn.1007_614x.2014.10.12摘要目的：分析女性急性心肌梗死（AMI）特点及危险因素，为女性AMI的预防和治疗提供更多临床依据。方法:收治急性心肌梗死患者342例，其中男219例，女123例，进行性别比较分析。结果：①女性AMI患者年龄偏大，其中56〜64岁年龄段女性组和男性组的差异具有统计学意义；②女性AMI患者，胸痛发作至就诊时间长，非典型症状多见，高血压病、糖尿病和高脂血症患病率高，两组间的临床表现有差异；③造影结果：女性多支病变比例明显高于男性，接受再灌注的

2、比例低于男性；④心脏超声：女性AMI的射血分数明显低于男性；⑤女性组在心衰、心源性休克、心律失常、死亡等严重并发症出现的比例要明显高于男性，差异具有统计学意义。结论：男女AMI患者在临床特征、并发症、死亡率等方面均有差异，性别是影响其临床特征和预后的一个重要因素。关键词女性急性心肌梗死危险因素InvestigationofthecharacteristicsoffemaleacutemyocardialinfarctionandrelatedriskfactorsSongFurong,SunHongbin,PengXuhui,GuoGaipingDep

3、artmentofCardiology,theSecondPeople’sHospitalofPingdingshanCity,Henan467000AbstractObjective：ToAnalyzethecharacteristicsoffemaleacutemyocardialinfarction(AMI)andriskfactors,andprovidemoreclinicalevidenceforthepreventionandtreatmentoffemaleAMI.Methods：Wemadeacomparativeanalysisof

4、342AMIinpatients(male219,female123)inourdepartmentfromJanuary2011toJuly2013.Results：FemaleAMIpatientstendtobeolder,andthedifferencesbetweenfemaleandmalegroupaged56〜64hadstatisticalsignificance.ThetimeoffemaleAMIpatientswenttoseeadoctorbetweenafterhavingchestpainsweremorelonger.T

5、heyalmosthadatypicalsymptomsandhighprevalenceofhypertension,diabetesandhyperlipemia.Theclinicalmanifestationsweredifferentbetweenthetwogroups.Theresultsofcoronaryangiography:thepercentageoffemalemultivessellesionsisnotablyhigherthanmalewhilethepercentageofacceptingreperfusionisl

6、essthanmales.Cardiacuhrasonography:theejectionfractionoffemaleAMIisdistinctlylowerthanthatofmaleswhilethepercentageoffemalegroupwithheartfailure,cardiacshock,cardiacarrhythmias,deathandotherseriouscomplicationsisapparentlyhigherthanthatofmales，andthedifferencehadstatisticallysig

7、nificant.Conclusion：MaleandfemaleAMIpatientshavedifferencesbetweenclinicalfeatures，complicationsandmortality,thegenderisanimportantfactoraffectstheclinicalfeaturesandprognosis.KeywordsFemale；AcuteMyocardialInfarction；RiskFactors随着社会经济的飞速发展，人们的日常生活水平有了较大程度的提升，再加上我国人口的老龄化速度加快，急性心肌

8、梗死(AMI)的发病率呈逐年增加的趋势。有调查研究显示，心脏病所致的死亡已上升为中国女性死亡的