不同地域接受直接PCI的ST段抬高型心肌梗死患者临床特点对比研究  

Clinical features of primary percutaneous coronary intervention in ST-segment elevation myocardial infarction patients from different region: comparative analysis

作　　者：刘海伟[1] 徐凯[1] 鲍丹[1] 荆全民[1] 王效增[1] 向定成[2] 袁明远[3] 韩雅玲[1] LIU Hai-wei XU Kai BAO Dan JING Quan-min WANG Xiao-zeng XIANG Ding-cheng YUAN Ming-yuan HAN Ya-ling(Depart- ment of Cardiology, The General Hospital of Shenyang Military Command, Shenyang 110016, China)

机构地区：[1]沈阳军区总医院心血管内科,辽宁沈阳110016 [2]广州军区总医院心血管内科,广东广州510010 [3]武警广东总队医院心血管内科,广东广州510507

出　　处：《临床军医杂志》2016年第11期1104-1106,共3页Clinical Journal of Medical Officers

基　　金：十二五科技支撑计划课题(2011BAI11B07);辽宁省自然科学基金(2014020064)

摘　　要：目的探讨不同地域对接受直接经皮冠状动脉介入治疗(PPCI)的急性ST段抬高心肌梗死(STEMI)患者临床特征的影响。方法在全军心血管介入诊疗管理系统数据库中选取2013年沈阳心脏中心(SY组,一个心脏中心)和广州心脏中心(GZ组,两个心脏中心)行PPCI的急性STEMI患者的临床资料,比较并分析两地区患者临床特征的差异。结果 SY组615例、GZ组581例STEMI患者接受PPCI。在SY组患者中,高脂血症及高血压病的比例明显高于GZ组(P<0.05);无论SY组还是GZ组,冬季STEMI患者的比例均明显高于夏季时间(P<0.05),且在冬季时间,SY组STEMI患者的比例也明显高于GZ组患者(P<0.05)。而在SY组患者中,采用桡动脉入路行PPCI的比例明显高于GZ组(P<0.05),但两组间的症状至血管开通的时间比较,差异无统计学意义(P>0.05)。结论与广州市STEMI患者相比,沈阳市STEMI患者具有更多的冠心病危险因素,且冬季SETMI患者的比例增加明显,需加强宣教预防。Objective To explore the impact of different regions on the clinical features of primary percutaneous coronary intervention（ PPCI） which were performed in ST-segment elevation myocardial infarction（ STEMI） patients. Methods The 2013 annual data of STEMI patients which were performed PPCI from Shenyang center（ SY group） and the other two centers in Guangzhou（ GZ group）were selected from the military hospitals cardiovascular intervention procedures database. This study was to explore the influence of different region on the clinical features of STEMI patients. Results There were 615 patients received PPCI in SY group and 581 patients in GZ group. The rates of hyperlipidemia and hypertension were significantly higher in SY group than that in GZ group,respectively（ P 0. 05）. Whether the patients were in SY group or GZ group,the rate of STEMI was significantly higher in winter than that in summer（ P 0. 05）. Meanwhile,the rate of STEMI patients in winter was significantly more in SY group than that in GZ group（ P 0. 05）. In addition,there was significantly higher rate in transradial access for PPCI procedure in SY group than that in GZ group（ P 0. 05）,while the symptom-onset-to-balloon time has no significant difference between the two groups（ P 0. 05）. Conclusion Compared with STEMI patients of southern region in China,patients in northern region have more risk factors for coronary heart disease and high rate for STEMI in winter. It is need to strengthen educating patients for risk factors prevention.

关 键 词：ST段抬高型 心肌梗死 经皮冠状动脉介入 地域 

分 类 号：R587.1[医药卫生—内分泌] R962[医药卫生—内科学]