心肌梗死量对性行为影响的临床研究  

Clinical research of the influence of acute myocardial infarction size on sexual activity

作　　者：邢启崇[1] 

机构地区：[1]山东省千佛山医院心内科,济南250014

出　　处：《山东大学学报（医学版）》2011年第10期73-76,共4页Journal of Shandong University:Health Sciences

基　　金：山东省自然科学基金资助项目(Y2003C02);山东省科技发展基金资助项目(2006GG2202014)

摘　　要：目的探讨心肌梗死后性行为引起心肌缺血、损伤的危险因素。方法急性心肌梗死(AMI)42例入院后动态测定血清肌酸激酶-MB蛋白(CK-MBmass)计算其心肌梗死量,根据心肌梗死范围大小患者分为A、B组;患者出院后性行为时佩戴动态心电图检测ST-T变化。结果根据血清CK-MBmass动态变化计算其心肌梗死量,其中A组患者平均为32.2 CK-MBmass-g,B组患者平均为21.7CK-MBmass-g,两组对比差异有统计学意义(P<0.01)。出院后患者性行为时计算心电图∑T波、∑ST段改变的面积,其中A组患者平均为5.6mm^2、2.3mm^2;B组患者平均为3.7mm^2、1.2mm^2,两组对比差异有统计学意义(P<0.01)。结论心肌梗死后性行为能否诱发心肌缺血、损伤,取决于心肌梗死量的大小。Objective To investigate the risk factor of sexual activity after myocardial infarction to causes myocardial ischemia and damage.Methods Choose 42 patients with acute myocardial infarction（AMI） as the study group,and calculate their acute myocardial infarction sizes with the dynamic changes of creatine kinase MBmass（CK-MBmass） in serum.All the patients were divided into two groups A and B by myocardial infarction size.Discharged from hospital, they were examined me ST-T changes in sexual activity by the dynamic electrocardiogram.Result To calculate the acute myocardial infarction sizes with the dynamic changes of CK-MBmass in serum,A group is 32.2CK-MBmass-g and B group is 21.7 CK-MBmass-g.There was significant difference（P0.01）.To calculate the area ofΣT andΣST during sexual activity,A group is 5.6 mm^2 and 2.3 mm^2 but B group is 3.7 mm^2 and 1.2 mm^2.There was significant difference between the two groups（P0.01）.Conclusion If sexual activity after myocardial infarction can cause myocardial ischemia and damage is determined by the acute myocardial infarction size.

关 键 词：心肌梗死量 性行为 肌酸激酶-MB蛋白 

分 类 号：R543.5[医药卫生—心血管疾病]