不同性别急性心肌梗死患者临床特点分析

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1、不同性别急性心肌梗死患者临床特点分析作者:曹禺1,贾绍斌2,冯，嬪1,张学虎2,杨单位：1.宁夏医科大学，宇夏银川7500042.宁夏医科大学附属医院，宁夏银川750004【摘要】目的评价不同性别急性心肌梗死(AMI)患者的临床特征和治疗现状。方法回顾性分析2002年至2008年收治1556例AMI患者的临床诊治资料。结果女性发病年龄高于男性(64.5±9.8)岁:(57.8±12.2)岁;女性患者中并发高血压病、糖尿病者比例分别显著高于男性患者(58.2%:44.1%,31.2%:17.6%);男性吸烟者显著高于女性(61.0%:9

2、.6%)。ST段抬高型急性心肌梗死(STEMI)女性患者比例多于男性(76.4%:81.0%)。结论我院AM1女性患者发病年龄高于男性，女性介并危险因素较多。【关键词】急性心肌梗死;性别;经皮冠状动脉腔内介入术AnalysisonclinicalcharacteristicbetweenmaleandfemalepatientswithAMICAOYu,JIAShao-bin,FENGJing,etal.(TheAffiliatedHospitalofNingxiaMedicalUniversity,Yinchuan750004,China)[Abstract]

3、ObjectiveTogetthemessageandevaluatecurrentstateoftherapyaboutpatientswithAMIofdifferentgende匚MethodsPatients1clinicalrecordsofaffiliatedhospitalofNingxiamedicaluniversityadmissionwithfinalAMIdiagnosisfrom2002to2008wereanalyzedretrospectively.ResultsAll1556patientsincluded1245(77.8%)m

4、aleand311(22.2%)female(male/female=3.5:1).AverageageoffemalepatientswithAMIwasolderthanthatofmale(64vs.57).Percentageofthehistoiyofhypertension,DMinfemalegroupwassignificantlyhigherthanthatinmalegroup(58.2%:44.1%,31.2%:17.6%);Percentageofthehistoryofsmokinginmalegroupwassignificantly

5、higherthanthatinfemalegroup(61.0%：9.6%).TherewerelessfemalepatientswithSTEMIthanmalepatients・Morepercentageoffemalereceiveddrugtherapy(57.9%:38・6%),meanwhilemalereceivedmorepercentageofthrombolysisandemergentPCI(P<0.05).Recurrentangina,heartfailure,anddeathrateoffemalepatientswere

6、significantlyhigherthanthatinmalegroup.ConclusionAverageageoffemalepatientswithAMIisolderthanthatofmale,andthereismanyriskfactorsinfemalepatientswithAMI;Thereislowerpercentageoffemalepatientsreceivedreperfusiontherapy・ThereissignificantdifferenceinMACEincidencebetweenfemaleandmale.[K

7、eywords]Acutemyocardialinfarction;Gender;Percutaneouscoronaryintervention近年来关于女性冠心病研究增多，女性患者在发病年龄、危险因素、临床表现、诊治方而及预后与男性有一定的差异。本研究通过冋顾性分析本院近6年收治的急性心肌梗死(AMI)患者的临床资料，对不同性別AMI患者临床特点进行分析。1资料与方法：1」对象选择：宁夏医科大学附属医院心脏中心于2002年至2008年9月收治的确诊为急性心梗的患者1556例。入选标准:所有病例均符合中华医学会心血管病学分会制定的AMI诊断标准[1]：⑴缺血.

8、性胸痛的临床病史;(2)