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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P<0.05);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。
Objective To explore the risk factors of acute myocardial infarction (AMI) in elderly patients with coronary heart disease (CHD) and provide references for taking appropriate preventive and control measures. Methods From October 2013 to October 2016, 73 elderly patients with coronary heart disease and AMI who were admitted to the Third Hospital of Qiqihar Medical College were enrolled as AMI group. Elderly patients with simple coronary heart disease Cases as non-AMI group, using multivariate logistic regression model analysis of elderly patients with coronary heart disease complicated with AMI risk factors. Results The levels of serum high-sensitivity C-reactive protein (hs-CRP) and serum creatinine (SCr) were (7.02 ± 1.83) mmol / L and (94.23 ± 19.23) mmol / L in AMI group The elderly patients with coronary heart disease (4.56 ± 0.89) mmol / L and (88.27 ± 16.06) mmol / L, the differences were statistically significant (all P <0.05); multivariate logistic regression analysis showed that smoking, hypertension, diabetes , Family history of cardiovascular disease and high levels of hs-CRP are independent risk factors for AMI in elderly patients with coronary artery disease. Conclusions Smoking, hypertension, diabetes, family history of cardiovascular disease and high hs-CRP level all increase the risk of AMI in elderly patients with coronary heart disease.