论文部分内容阅读
目的:分析急性STEMI患者高危因素与年龄分层差异的关系,为冠心病的预防及治疗提供针对性方案。方法:回顾性调查分析(2012.01至2015.12)经我院胸痛中心行急诊PCI的STMEI患者的一般临床情况、血生化结果、PCI治疗相关数据、住院期间主要心血管事件、临床预后等。共入选患者222例,根据年龄分青年组(≤44岁)、中年组(45-59岁)、老年组(≥60岁)。分析各年龄段发病特点。结果:青年组中女性患者低于老年组(P<0.01);吸烟率高于老年组(P<0.01),肾小球滤过率(e GFR)、甘油三酯(TG)含量高于老年组(P<0.05)。老年组中糖尿病以及肾功能不全者要高于青年组(P<0.05)。三组患者心源性休克及急性左心衰发生率有显著差异(P<0.05)。结论:吸烟、甘油三酯含量增多可能是青年组发病的更为主要的危险因素;青年组单支病变较多,住院期间临床主要心血管事件较老年组少。
OBJECTIVE: To analyze the relationship between risk factors and stratification in patients with acute STEMI and to provide targeted solutions for the prevention and treatment of coronary heart disease. Methods: The clinical data, blood biochemical results, data of PCI treatment, major cardiovascular events during hospitalization, clinical prognosis and so on were retrospectively analyzed (from January 2012 to December 2015) in STMEI patients undergoing emergency PCI in our chest pain center. A total of 222 patients were enrolled, according to the age group of young (≤ 44 years old), middle-aged group (45-59 years old), elderly group (≥ 60 years old). Analysis of the incidence of various age characteristics. Results: The female patients in the youth group were lower than the elderly group (P <0.01), the smoking rate was higher than that in the elderly group (P <0.01), and glomerular filtration rate (e GFR) and triglyceride (TG) Group (P <0.05). Elderly patients with diabetes and renal insufficiency were higher than the young group (P <0.05). Three groups of patients with cardiogenic shock and acute left heart failure rate was significantly different (P <0.05). CONCLUSIONS: Smoking and triglyceride levels may be the major risk factors for the onset of disease in young people. There is more single-vessel disease in young patients and fewer major clinical cardiovascular events during hospitalization than those in the elderly group.