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目的:探讨不同年龄阶段老年急性心肌梗塞患者的临床特征。方法:回顾性分析80例老年急性心肌梗塞患者的临床资料,根据年龄分组为早老年组(60-69岁)40例、中老年组(70-79岁)23例、老老年组(≧80岁)17例。收集患者在性别、年龄、心梗部位、基础疾病及心梗后并发症方面的临床资料并进行分析。结果:在中老年组中,男女发病率的差异则具有统计学意义(P<0.05)。在基础疾病、心梗部位、并发症方面,各组发生率无明显差异。结论:老老年组随着年龄的增长多种基础疾病的患病率越高,冠脉病变亦越复杂,但并非意味着高死亡率。老年急性心肌梗塞在治疗上不仅要抗聚稳斑,还要积极处理基础疾病。
Objective: To investigate the clinical features of elderly patients with acute myocardial infarction in different age groups. Methods: The clinical data of 80 elderly patients with acute myocardial infarction were retrospectively analyzed. According to the age group, 40 were in the early-aged group (60-69 years old), 23 were in the middle-aged and elderly group (70-79 years old), and were older than 80 Years old) in 17 cases. The patient’s clinical data on gender, age, myocardial infarction, underlying diseases and post-MI complications were collected and analyzed. Results: In the middle-aged and elderly group, the difference between male and female was statistically significant (P <0.05). In the basic diseases, myocardial infarction site, complications, the incidence of each group no significant difference. Conclusion: The higher the prevalence of multiple underlying diseases in elderly population is, the more complicated the coronary lesions are. However, this does not mean that the mortality rate is high. Elderly acute myocardial infarction in the treatment of not only anti-poly spot, but also actively handle the underlying diseases.