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采用对照方法分析510例农村居民急性心肌梗死（AMI）的临床资料。结果：①农村组家族史阳性，伴发高血压、糖尿病，饮酒、有心绞痛和心肌梗死（MI）史者均少于城市组（P＜0.05～0．001）；②劳累是主要诱因，因精神应激诱发者、发病前有先兆者均多于城市组（P＜0．05～0．01）；③女性吸烟率高于城市组（P＜0．01），女性患者所占比例也高于城市组（P＜0．001）；④农村组大面积MI较多（P＜0．01）；⑤农村组入院时间较晚。提示农村患者过度劳累、精神应激、出现先兆症状后未及时就诊是影响AMI发病的不利因素。
The control group was used to analyze the clinical data of 510 rural residents with acute myocardial infarction (AMI). Results: ①The incidence of family history in rural areas was significantly lower than that in urban areas (P <0.05-0.001), with hypertension, diabetes, alcohol consumption, angina pectoris and myocardial infarction (MI) (P <0.05 ~ 0.01). ③The prevalence of smoking in women was higher than that in urban group (P <0.01), and the proportion of female patients was also higher than that in urban group (P <0.001). ④ Large area MI in rural areas was more (P <0.01); ⑤ The admission time in rural areas was later. Prompted over-exertion in rural patients, mental stress, the emergence of aura symptoms not promptly affect the incidence of AMI adverse factors.