首都医科大学学报 ›› 2008, Vol. 29 ›› Issue (5): 636-639.

• 临床研究 • 上一篇    下一篇

小于60岁女性急性心肌梗死患者危险因素及预后的研究

符浩1, 华琦1, 赵玉生2   

  1. 1. 首都医科大学宣武医院心脏科;2. 中国人民解放军总医院老年心血管病研究所
  • 收稿日期:2007-11-01 修回日期:1900-01-01 出版日期:2008-10-24 发布日期:2008-10-24

Studies on Risk Factors and Prognoses in Female Patients Less than 60 Years of Age with Acute Myocardial Infarction

Fu Hao1, Hua Qi1, Zhao Yusheng2   

  1. 1. Department of Heart, Xuanwu Hospital, Capital Medical University;2. Gerontic Cardiovascular Disease Institution, Chinese People Liberation Army Hospital
  • Received:2007-11-01 Revised:1900-01-01 Online:2008-10-24 Published:2008-10-24

摘要: 目的 研究小于60岁女性急性心肌梗死(AMI)患者患病危险因素及预后.方法 入选小于60岁AMI女性患者75例、同期患病同年龄段男性440例,比较两组吸烟、高血压、高血脂、糖尿病、职业、体质量指数及并发症、院内病死率的差异.结果 女性AMI患者中吸烟、高血脂者及脑力劳动者的比率明显低于男性(P<0.001、P<0.05、P<0.001);女性AMI患者中高血压者、体力劳动者的比率明显高于男性(P均<0.001);女性AMI患者患糖尿病的比率高于男性,但差异无统计学意义;女性AMI患者体质量指数与男性接近.女性AMI患者并发症发生率明显高于男性(P<0.05);无论是心性死亡还是全因死亡,女性稍高,但差异无统计学意义.在校正混杂因素后,男女AMI患者并发症的发生差异无统计学意义.结论 在小于60岁的AMI患者中,女性合并高血脂者少;脑力劳动者少,体力劳动者多;合并高血压者多.男女预后无差异.

关键词: 女性, 急性心肌梗死, 危险因素, 预后

Abstract: Objective To analyze the risk factors and prognoses of female patients less than 60 years of age with acute myocardial infarction(AMI).Methods 75 female patients less than 60 years of age with AMIwere compared with 440 male patients at the state about smoking,hypertension,hyperlipemia,diabetes,occupations,body mass index(BMI),complications and mortality in hospital.Results The morbidity of hyperlipemia and the ratios of smoking and mental labors in female patients were significantly lower than in male patients(P<0.05,P<0.001,P<0.001,respectively);the morbidity of hypertension and the ratios of physic labors in female patients were significantly higher than in male patients(P<0.001,all);the morbidity of diabetes and BMIwere similar in both sexs.The incidence of complications in female patients was significantly higher than in male patients(P<0.05),the mortality in hospital was similar in both sexs.The incidence of complications was similar in both sex,after excluding other confounding factors.Conclusion Compared with male patients,there were less hyperlipemia;less mental labors,more physic labors;more hypertension in female patients younger than 60 years-old with AMI.The prognoses were similar in both sex.

Key words: female, acute myocardial infarction, risk factor, prognosis

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