40岁以下急性心肌梗死患者发病时间特征及其院内预后分析  

An analysis on the hour feature of acute myocardial infarction attack and in-hospital prognosis in patients aged under forty

作　　者：孙敏丽[1] 李小荣[2] 杜为[2] 刘榜霞 满艺龙[2] 肖峰[2] 陈惠平[2] 郑雅云 王子盾[2] 陈彦[3] 曹克将[2] 

机构地区：[1]滨海县人民医院心血管病科,江苏省224500 [2]南京医科大学第一附属医院心脏病科 [3]南京医科大学第一附属医院急诊科

出　　处：《江苏医药》2015年第9期1014-1016,共3页Jiangsu Medical Journal

基　　金：国家自然科学基金(81400253);江苏省自然科学基金(BK20141029);"十二五"科技支撑计划项目(2011BAI11B13);江苏高校优势学科建设工程

摘　　要：目的探讨40岁以下急性心肌梗死(AMI)患者的发病时间特征及其住院期间的预后。方法 AMI患者218例中,年龄≤40岁106例(A组),年龄60-75岁112例(B组)。回顾性分析临床资料,比较两组发病的日时间分布及院内预后。结果 A组发病高峰时间是上午6:00-11:59(占38.6%),其次是0:00-5:59(占22.8%);B组发病高峰时间是0:00-5:59(占32.2%),其次是上午6:00-11:59(占30.0%)。A组院内死亡率低于B组(5.7%vs.18.8%)(P<0.01)。结论与60-75岁的老年患者比较,40岁以下的AMI患者上午发病者较多,院内预后较好。Objective To investigate the hour feature of acute myocardial infarction （AMI） attack and in-hospital prognosis in the patients under 40 years. Methods A total of 218 patients with AMI was assigned into two groups of A≤40 years old, 106 cases） and B （60-75 years old, 112 cases）. The hour [eature of AMI attack and the in-hospital prognosis were compared by retrospec- tively analyzing clinical data of 218 cases. Results The peak period of time for AMI attack was 6：00- 11 ： 59 am（accounting for 38.6 %） in group A, which was 0 ： 00-5 ： 59 am （ accounting for 32.2 % ） in group B. The second peak period of time for AMI attack was 0：00-5：59 am（accounting for 22.8%） in group A,which was 6：00-11：59 am（accounting for 30.0%） in group B. The in-hospital mortality was lower in group A than that in group B（5.7%vs. 18. 8%）（P〈0. 01）. Conclusion Compared to people aged 60-75 years old, the peak period of time for AMI attack is 6：00-11：59 am with a lower in-hospital mortality in those aged under 40 years.

关 键 词：急性心肌梗死 

分 类 号：R541[医药卫生—心血管疾病]