不同年龄急性心肌梗死患者血脂水平分析  

Analysis of serum lipid level in the different age patients with acute myocardial infarction

作　　者：林紫薇[1] 周振霞[1] 徐莹[1] 

机构地区：[1]安徽省亳州市人民医院老年病科,236800

出　　处：《淮海医药》2007年第4期295-297,共3页Journal of Huaihai Medicine

摘　　要：目的研究本地区不同年龄急性心肌梗死（AMI）患者血脂水平状况及其伴随疾病与发病年龄的关系。方法98例AMI患者分为中青年组（年龄38～59岁,25例）,老年组（年龄60～70岁,46例）,高龄老年组（年龄71～87岁,27例）;分析对比各年龄组血脂水平、伴随疾病与AMI发病年龄之间的关系。结果甘油三脂（TG）和总胆固醇（TC）水平随AMI发病年龄增加而降低,TG和TC水平与AMI发病年龄之间呈负相关,相关系数分别为r=-0.41（P〈0.001）、r=-0.25（P〈0.005）,中青年组TC和TG均值显著高于老年组、高龄老年组（P〈0.001）,χ^2检验显示,TG增高检出率与AMI年龄有关（χ^2=8.20,P〈0.05）,AMI的伴随疾病高血压病、脑血管病随着AMI发病年龄的增加而增加。结论重视冠心病（CHD）患者、特别是中青年组患者的调脂治疗,同时控制相关的危险因素,为冠心病二级预防的重要措施。Objective To study relationship between the serum lipid levels and the accompanying diseases and patients in different age group patients with acute myocardial infarction（AMI） in the local area. Methods 98 cases with AMI were divided into young-middle-age group（aged 38-59,25 cases）,aged group （aged 60～ 70,46 cases）,and senile group （aged 71～ 87,27 cases）. And then the interrelation between different lipid levels, accompanying diseases and the ages in AMI were analyzed. Results TG and TC levels decreased with increasing age. Both TG and TC and the attack age of AMI were in a negative correlation （r=- 0. 41 ,P〈0. 001;r=-0. 25, P〈0. 005）. The average value of TG and TC in the young and middle-age group was significantly higher than that of the other two groups（P〈0. 0001）. Chisquare showed that the ratio of raised TG has something to do with age of AMI（x^2=8. 20,P〈0. 05）. Hypertension and cerebral vascular disease were increased with the patients with AMI growing older. Conclusion It＇s a very important measure to modify lipid for coronary secondary prevention ,so more attention should be paid to the coronary, especially to that of the young and middle-aged patients ,under the treatment of modifying lipid.

关 键 词：心肌梗死 血脂 胆固醇 甘油三脂 

分 类 号：R542.22[医药卫生—心血管疾病]