回顾性分析讨论急性心肌梗死的危险因素

发布时间：2018-06-19 11:09

本文选题：心肌梗死 + 危险因素　；参考：《辽宁中医药大学》2014年硕士论文

【摘要】：目的：分析影响急性心肌梗死发生的危险因素的特点,了解现阶段急性心肌梗死发病情况,以促进健康教育宣传服务及临床预防工作有针对性的开展。材料与方法：在辽宁中医药大学第一附属医院（辽宁省中医院）连续选取2013年01月至2013年12月期间在本院心内1科和心内2科确诊的203例初发急性心肌梗死患者病历资料，所得资料按年龄分为中青年(年龄60岁)组和老年(年龄≥60岁)组,收集两组人群的危险因素进行对比分析研究。结果： 1.老年组患者急性心肌梗死数量明显大于中青年组，，中青年组患者中男性比例较大，老年组患者中男女比例相近。 2.中青年组同时具有多种危险因素的患者比例较老年组明显为高(P0.05)。 3.中青年组急性心肌梗死患者家族史、吸烟、饮酒、缺乏体育运动、暴饮暴食、过度疲劳等因素的比例高于老年组；高血压、高胆固醇、糖代谢异常的比例则低于老年组。两组患者比较显示差异有统计学意义(P0.05)。 4.中医分型发现老年组气阴两虚兼血瘀型例数最多达52.98%，中青年组痰瘀互结型例数最多达46.15%。结论： 1．中青年人群发生急性心肌梗死主要与遗传因素和不良生活方式等密切相关。 2．老年急性心肌梗死主要危险因素与高血压、高胆固醇、糖代谢异常关系较大。 3．多个危险因素相互综合的作用，其危险程度是单个危险因素作用的数倍。 4．临床应根据不同年龄急性心肌梗死患者危险因素不同的特点，有针对性的制定相应的干预措施。
[Abstract]:Objective : To analyze the risk factors influencing acute myocardial infarction ( AMI ) and to understand the incidence of acute myocardial infarction ( AMI ) in the present stage .

Materials and Methods : In the first Affiliated Hospital of the University of Traditional Chinese Medicine ( Central Hospital of Liaoning Province ) , 203 cases of primary acute myocardial infarction were randomly selected from January 2013 to December 2013 .

Results :

1 . The number of acute myocardial infarction in the elderly group was significantly higher than that in the middle - aged group , middle - aged group and middle - aged group , and the proportion of male and female in the elderly group was similar .

2 . The proportion of patients with multiple risk factors at the same time was higher than that in the old group ( P0.05 ) .

3 . The proportion of family history , smoking , alcohol consumption , lack of sports , overeating , excessive fatigue and so on in middle - aged and youth group were higher than those in the elderly group .
The proportion of patients with hypertension , high cholesterol and sugar metabolism was lower than that in the elderly group ( P0.05 ) .

4 . The number of qi - yin deficiency and blood stasis type in the aged group was up to 52.98 % , and the number of internodal type of phlegm - stasis in middle - aged and young group was up to 46.15 % .

Conclusion :

1 . Acute myocardial infarction in middle - aged and young people is closely related to genetic factors and poor lifestyle .

2 . The main risk factors of senile acute myocardial infarction were high blood pressure , high cholesterol and impaired glucose metabolism .

3 . Multiple risk factors play an integrated role , and the degree of danger is several times that of individual risk factors .

4 . According to the characteristics of different risk factors in patients with acute myocardial infarction at different ages , the corresponding intervention measures should be developed accordingly .
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R542.22

【参考文献】