农村居民急性心肌梗死的临床特点  

The clinical characteristics of acute myocardial infarction in rural inhabitant

作　　者：张振岭[1] 戈继业[2] 

机构地区：[1]河北沧州市中心医院,061001 [2]河北沧州卫生学校附属医院

出　　处：《临床心血管病杂志》1998年第3期143-145,共3页Journal of Clinical Cardiology

摘　　要：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 clinical data of 510 rural patients with acute myocardial infarction (AMI)were analyzed and compared with those of 642 civic patients. The results showed that ①in rual group,patients with positive famial history,associated with history of hypertension,diabetes mellitus,alcoholi drinking,angina pectoris and myocardial infarction were less than those of civic group.(P<0. 05~0.001); ②exhaustion is the major enhancing cause: and those induced by emotional stress an omen of AMI are more than those in civic group (P < 0.05 ~ 0. 01); ③rate of female smoker is higher than that in civic group (P <0. 01 ),the percentage of female patient is higher than that in civiv group(P <0. 001) ;④patients with large extent of MI are more than that in civic group (P <0.01) ;⑤patients admilted to hospital are later than in civic group. Therefoce,it is suspeded that exhaustion,emotional stress and later admission to hospital after the omen are the adverse factors inducing onset of AMI.

关 键 词：急性 农村居民 危险因素 心肌梗塞 

分 类 号：R542.22[医药卫生—心血管疾病]