喀沪两地急性心肌梗死患者流行病学对比研究  

Epidemiological Study on Acute Myocardial Infarction in Kashi and Shanghai

作　　者：胡靖超[1] 吾麦尔江.克力木 买买提艾力.图尔孙 殷兆芳[1] 许左隽[1] 范例[1] 卓杨[1] 尹萍[1] 孙婷[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院心内科,200011 [2]喀什地区第二人民医院心内科,844000

出　　处：《医学研究杂志》2016年第2期83-86,166,共5页Journal of Medical Research

基　　金：上海交通大学医学院附属第九人民医院基金资助项目(2013B14)

摘　　要：目的 比较喀什地区和上海地区急性心肌梗死患者的流行病学特征与治疗方案差异，为提高急性心肌梗死的防治水平提供参考依据。方法收集2012年8月～2013年1月喀什地区第二人民医院心内科收治的急性心肌梗死患者94例和上海第九人民医院心内科收治的急性心肌梗死患者59例，随访时间6个月，对比两地急性心肌梗死患者的发病年龄、性别、冠心病危险因素、文化水平、收入、到院时间、Killip心功能分级、治疗方案及预后、随访心超情况。结果喀什地区急性心肌梗死患者的发病年龄小于上海，男性患者比例高于上海（P〈0．01）。经济状况和文化水平低于上海患者，发病至就诊时间长于上海患者（P〈0．01）。喀什患者B受体阻滞剂的应用率低于上海（P〈0．05），再灌注治疗及经皮冠状动脉介入治疗（PCI）率均明显低于上海患者（P〈0．01）。半年后随访，喀什地区心肌梗死继发心力衰竭者明显多于上海（P〈0．05）。结论喀沪两地急性心肌梗死患者在性别、年龄、危险因素分布上存在差异，喀什地区B受体阻滞剂的应用率及再灌注率、PCI率较低，并发心力衰竭患者多，需有针对性地加以改进，以提高当地心肌梗死患者的预后。Objective To compare the epidemiological feature and treatment options of acute myocardial infarction in Kashi with that in Shanghai. Methods During Aug 2012 to Jan 2013, 94 inpatients with acute myocardial infarction from Kashi Second People＇s Hospital and 59 inpatients from Shanghai Ninth People＇s Hospital formed the study. The patients were grouped according to the area and followed 6 months. Race,age, sex, risk factors, income, educational level, time from onset to hospital, Killip classification, treatment condition, mortality and eehoeardiographie were presented by statistics. Results The age of acute myocardial infarction in Kashi patients is younger than Shanghai（ P 〈 0.01 ） , the percentage of male patients is higher in Kashi （ P 〈 0.01 ）. The income, educational level is obvious lower and time from onset to hospital is longer for Kashi patients. The classification by Killip of Kashi patients was significantly higher than Shanghai patients （P 〈 0.05）. According to treatment, the utility of beta blockers in Kashi was lower than Shanghai （ P 〈 0.05 ） , the percentage of patients who adopted reperfusion therapy and percutaneous coronary intervention （PCI） in Kashi was lower than Shanghai （ P 〈 0.01 ）. After 6 months follow - up, heart failure in Kashi patients assessed by eehoeardiographie was more than that in Shanghai （ P 〈 0.05）. Conclusion There is obviously different in gender, age and risk factors of acute myocardial infarction in Kashi patients, com- pared with that in Shanghai patients. There is lower incidence of beta blockers application, lower reperfusion therapy and PCI, and higher incidence of heart failure in Kashi than that in Shanghai. We still need to improve prognosis and treatment of acute myocardial infarction in Kashi patients.

关 键 词：心肌梗死 民族 再灌注治疗 心力衰竭 

分 类 号：R541.4[医药卫生—心血管疾病]