高龄老年急性心肌梗死患者的临床特点分析  

The Analysis of Clinical Feature of Acute Myocardial Infarction in Patients Aged more than 80 Years

作　　者：高艳艳[1] 

机构地区：[1]沈丘县中医院,河南沈丘466300

出　　处：《中外医学研究》2014年第4期4-6,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨高龄老年急性心肌梗死(AMI)患者的临床特点。方法:回顾性分析2007年1月-2012年12月在笔者所在医院住院治疗的159例老年AMI患者的临床资料。结果:高龄老年组高血压病史、脑卒中史、陈旧性心肌梗死史显著高于老年组(P<0.01),高龄老年组患者以呼吸困难和头晕、意识模糊、晕厥、抽搐等神经、精神症状起病者显著多于老年组(P<0.01),以胸痛为主诉发病者显著低于老年组(P<0.01);高龄老年组心力衰竭、严重心律失常的发生率和30 d病死率显著高于老年组(P<0.01),高龄老年组血管紧张素转换酶抑制剂(ACEI类)、β-受体阻滞剂、肝素等抗凝剂的应用显著低于老年组(P<0.01),而利尿剂的应用显著高于老年组(P<0.01)。结论:高龄老年AMI动脉硬化危险因素多,心肌梗死症状不典型,并发症多。Objective：To explore the clinical feature of acute myocardial infarction in patients aged more than 80 years.Method：The clinical date of 159 elderly patients with acute myocardial infarction were analyzed retrospectively from Jan 2007 to Dec 2012 in our hospital.Result：Hypertension,stroke, and old myocardial infarction in patients aged more than 80 years with acute myocardial infarction group were significantly higher than the group aged less than 80 years（P〈0.01）.Acute myocardial infarcion in aged more than 80 years patients with breathing difficulties and dizziness,confusion,syncope,convulsion, neuropathy or mental symptoms onset were significantly higher than that of patients aged less than 80 years（P〈0.01）.With chest pain as chief complaint cases was significantly lower than that of the patients aged less than 80 years group（P〈0.01）.The incidence of heart failure,severe arrhythmia and 30 day mortality were significantly higher than that of patients aged less than 80 years（P〈0.01）.The application of angiotensin converting enzyme inhibitors,beta-blockers and heparin aticoagulation were significantly lower than that in aged less than 80 years group（P〈0.01）.And the use of diuretics was significantly higher than that in aged less than 80 years group（P〈0.01）.Conclusion：Acute myocardial infarction in patients aged more than 80 years are of more atherosclerosis risk factors,acute myocardial infarction symptoms are not typical and more complication.

关 键 词：高龄老年患者 急性心肌梗死 临床特点 

分 类 号：R542.22[医药卫生—心血管疾病]