老年冠心病患者并发急性心肌梗死危险因素分析

发布时间：2018-04-01 17:23

本文选题：急性心肌梗死(AMI)　切入点：危险因素　出处：《中国公共卫生》2017年07期

【摘要】：目的探讨老年冠心病患者并发急性心肌梗死(AMI)的危险因素,为采取相应的预防控制措施提供参考。方法于2013年10月—2016年10月在齐齐哈尔医学院附属第三医院随机抽取心内科就诊的老年冠心病并发AMI患者73例作为AMI组,另抽取该科室同期就诊的老年单纯冠心病患者132例作为非AMI组,采用多因素logistic回归模型分析老年冠心病患者并发AMI危险因素。结果 AMI组老年冠心病患者血清高敏C反应蛋白(hs-CRP)和血肌酐(SCr)水平分别为(7.02±1.83)mmol/L和(94.23±19.23)mmol/L,均高于非AMI组老年冠心病患者的(4.56±0.89)mmol/L和(88.27±16.06)mmol/L,差异均有统计学意义(均P0.05);多因素logistic回归分析结果显示,吸烟、高血压、糖尿病、有心血管病家族史和hs-CRP水平较高是老年冠心病患者并发AM I的独立危险因素。结论吸烟、高血压、糖尿病、有心血管病家族史和hs-CRP水平较高均会增加老年冠心病患者发生AMI的风险。
[Abstract]:Objective to investigate the elderly patients with acute myocardial infarction complicated with coronary heart disease (AMI) risk factors, to provide reference for the corresponding preventive control measures. Methods from October 2013 to October 2016 in the Third Affiliated Hospital of Qiqihar Medical School were randomly selected from the Department of Cardiology of the elderly patients with coronary heart disease complicated with 73 AMI patients as AMI group and other departments of the same period were selected in elderly patients with coronary heart disease 132 patients as the AMI group, using multi factor Logistic regression model analysis of elderly patients with coronary heart disease complicated with AMI risk factors. Results AMI group of elderly patients with coronary heart disease serum Gao Min C reaction protein (hs-CRP) and serum creatinine (SCr) levels were (7.02 + 1.83) mmol/L and (94.23 + 19.23) mmol/L, were higher than those of AMI group of elderly patients with coronary heart disease (4.56 + 0.89) mmol/L and (88.27 + 16.06) mmol/L, the differences were statistically significant (P0.05); multivariate logistic regression analysis results Show, smoking, hypertension, diabetes, family history of cardiovascular disease and a higher level of hs-CRP are independent risk I in elderly patients with coronary heart disease complicated with AM. Conclusion the factors of smoking, hypertension, diabetes, a family history of cardiovascular disease and the level of hs-CRP is higher in aged patients with coronary heart disease can increase the risk of AMI.

【作者单位】：齐齐哈尔医学院附属第三医院心血管一科;齐齐哈尔医学院附属第三医院心血管内科;
【分类号】：R541.4;R542.22

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