老年冠心病患者并发急性心肌梗死危险因素分析  

Risk factors of acute myocardial infarction in elderly patients with coronary heart disease

作　　者：王丽[1] 杨莉莉[1] 汤柏赞[2] 邵海峰[2] 

机构地区：[1]齐齐哈尔医学院附属第三医院心血管一科,黑龙江齐齐哈尔161000 [2]齐齐哈尔医学院附属第三医院心血管内科

出　　处：《中国公共卫生》2017年第7期1135-1138,共4页Chinese Journal of Public Health

摘　　要：目的探讨老年冠心病患者并发急性心肌梗死(AMI)的危险因素,为采取相应的预防控制措施提供参考。方法于2013年10月—2016年10月在齐齐哈尔医学院附属第三医院随机抽取心内科就诊的老年冠心病并发AMI患者73例作为AMI组,另抽取该科室同期就诊的老年单纯冠心病患者132例作为非AMI组,采用多因素logistic回归模型分析老年冠心病患者并发AMI危险因素。结果 AMI组老年冠心病患者血清高敏C反应蛋白(hs-CRP)和血肌酐(SCr)水平分别为(7.02±1.83)mmol/L和(94.23±19.23)mmol/L,均高于非AMI组老年冠心病患者的(4.56±0.89)mmol/L和(88.27±16.06)mmol/L,差异均有统计学意义(均P<0.05);多因素logistic回归分析结果显示,吸烟、高血压、糖尿病、有心血管病家族史和hs-CRP水平较高是老年冠心病患者并发AM I的独立危险因素。结论吸烟、高血压、糖尿病、有心血管病家族史和hs-CRP水平较高均会增加老年冠心病患者发生AMI的风险。Objective To investigate the risk factors of acute myocardial infarction （AMI） in elderly patients with coronary heart disease （CHD）,and to provide references for relevant prevention and control measures.Methods From the patients visiting the Cardiovasology Department of The Third Affiliated Hospital of Qiqihaer Medical College,we randomly recruited 73 elderly CHD patients （aged ≥ 60 years） complicated with AMI as the case group and 132 CHD patients of the same ages as the control group between October 2013 and October 2016.Questionnaire survey,physical examination and related laboratory measurements were conducted among the participants.Multivariate logistic regression model was used to analyze the risk factors of AMI.Results The high sensitive C reactive protein （hs-CRP） and serum creatinine （SCr） of the case group were 7.02±1.83 mmol/L and 94.23±19.23 mmol/L,and were significantly higher than those of the control group （4.56±0.89 mmol/L and 88.27±16.06 mmol/L）（both P〈0.05）.Multivariate logistic regression analysis showed that smoking,hypertension,diabetes,family history of cardiovascular disease and high hs-CRP were independent risk factors of AMI.Conclusion Smoking,hypertension,diabetes,family history of cardiovascular disease and high hs-CRP could increase the risk of AMI among elderly CHD patients.

关 键 词：急性心肌梗死(AMI) 危险因素 老年冠心病患者 

分 类 号：R542.22[医药卫生—心血管疾病]