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目的分析非糖尿病AMI患者临床相关因素及冠状动脉病变分布特点。方法对883例AMI非糖尿病患者与212例AMI糖尿病患者进行回顾性对照研究,分析各项血脂指标、高血压患病率、长期吸烟史以及冠状动脉造影病变分布特点。结果 (1)AMI非糖尿病组男性比例大于AMI糖尿病组(83.9%vs 66%),AMI非糖尿病组平均年龄小于AMI糖尿病组(57.9±12.59 vs 63.55±10.15),AMI非糖尿病组长期吸烟史比例高于AMI糖尿病组((54.2%vs 37.3%);AMI非糖尿病组高血压患病率低于AMI糖尿病组(41.2%vs 54.2%);(2)AMI非糖尿病组患者TC/HDL、LDL-C/HDL-C、ApoB/ApoA-I高于AMI糖尿病组;(3)AMI非糖尿病组单支病变比例高于AMI糖尿病组,回旋支病变比例大于AMI糖尿病组(p<0.05)。结论吸烟、血脂比值异常可能是AMI非糖尿病患者常见的危险因素,且AMI发病年龄趋于年轻化。
Objective To analyze the clinical factors and the distribution of coronary lesions in patients with non-diabetic AMI. Methods A retrospective and comparative study was conducted on 883 AMI nondiabetic patients and 212 AMI diabetic patients. The blood lipid indexes, the prevalence of hypertension, long-term smoking history and the distribution of coronary angiography were analyzed. Results (1) The proportion of men with AMI in non-diabetic group was significantly higher than that in AMI group (83.9% vs 66%). The mean age of non-diabetic AMI group was less than that of AMI diabetic group (57.9 ± 12.59 vs 63.55 ± 10.15) The prevalence of hypertension in AMI non-diabetic group was lower than that in AMI diabetic group (41.2% vs 54.2%). (2) The levels of TC / HDL and LDL-1 in AMI nondiabetic group were higher than those in AMI diabetic group (54.2% vs 37.3% C / HDL-C and ApoB / ApoA-I were higher than those in AMI group (P <0.05). (3) The proportion of single vessel disease in AMI non-diabetic group was higher than that in AMI group , Abnormal blood lipid ratio may be common in non-diabetic patients with AMI risk factors, and the age of onset of AMI tend to be younger.