首次心脏事件为急性心肌梗死的冠心病患者危险因素的分析  

Analysis of the Risk Factors in the Patients of Coronary Heart Diseases Whose First Cardiac Event Is Just Acute Myocardial Infarction

作　　者：王培宁[1] 汪师贞[1] 杨新春[2] 汪爱虎[2] 陈明[2] 张建军[2] 

机构地区：[1]新疆医科大学第一附属医院心血管病专科医院起搏电生理科,乌鲁木齐830054 [2]首都医科大学附属北京朝阳医院心脏中心,北京100020

出　　处：《中国临床医学》2005年第1期47-48,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨首次心脏事件为急性心肌梗死(AMI)表现的冠心病患者的危险因素。方法:选取1999年1月1日-2002 年12月30日248例住院患者,116例是以急性心肌梗死为首次心脏事件的表现,列为AMI组,另外132例有心绞痛病史,经冠脉造影检查,确诊为冠心病,且无心肌梗死,列为冠心病对照组(CHD);通过Logistic回归的方法处理性别、血压、吸烟、尿酸、家族史、年龄、空腹血糖、甘油三酯、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇等11个参数。结果:性别、血压、空腹血糖、甘油三酯在两组间有显著差异(P<0.01),急性心肌梗死组明显高于对照组。结论:男性,高血压的冠心病患者其首次心脏事件为急性心肌梗死的危险性较一般冠心病者显著增高。Objective:To investigate the risk factors in coronary heart diseases(CHD) patients who suffered from just acute myocardial infarction in the first cardiac events. Methods: 248 CHD patients from 1999. 1. 1 to 2002. 12.30. in our hospitals were mcluoled,They were divided into two groups, the first group of 116 patients suffered from acute myocardial infarction (AMI) in the first cardiac events. The second group of 132 patients suffered from coronary heart diseases proved by coronary arteriography. information about sex,blood pressure, smoking history, uric acid, family history, age, blood glucose, triglyceride, totle cholesterol,high density lipid cholesterol,low density lipid cholesterol,and so on was recorded. These data were analyzed by logistic regression methods. Results:There were significant differences of sex,blood pressure,blood glulose in two groups(P <0. 01),The level of blood pressure and blood glucose were higher in AMI group than that of control troup. Conclusion: Male and hypertension are the risk factors in the CHD patients who Suffered from acute myocardial infarction in the first cardiac event.

关 键 词：心脏事件 首次 急性心肌梗死 冠心病患者 危险因素 对照组 空腹血糖 表现 目的 LOGISTIC回归 

分 类 号：R541[医药卫生—心血管疾病] R542.22[医药卫生—内科学]