65例老年急性心肌梗塞临床特征分析  

Clinical characteristics analysis of65cases of elderly acute myocardial infarction

作　　者：毕惠珍[1] BI Hui-zhen(Oil Field General Hospital, Puyang, Henan, 457001, China)

机构地区：[1]河南省濮阳市油田总医院,河南濮阳457001

出　　处：《临床研究》2017年第7期7-8,共2页Clinical Research

摘　　要：目的对老年急性心肌梗塞的临床特征展开分析。方法择选我院2014年8月至2015年8月所收治的65例老年急性心肌梗塞患者作为本文研究对象，将其作为研究组，并在同期内选择65例中青年患者作为本文研究对象，将其作为对照组，对两组患者的病情特征展开分析与对比。结果经本文分析结果得出，在梗塞部位上，研究组患者梗塞部位多以广泛前壁、下壁、多部位及正后壁为多见，对照组患者则是以前壁、前间壁、侧壁为多见，组间结果存在显著性差异，有统计学意义（P＜0.05）；在临床特征上，研究组患者临床呈现无痛性不典型特征的有30例，占据比例为46.15%，对照组5例，占据比例为7.69%，对比结果存在显著性差异，有统计学意义（P＜0.05），在意识障碍上，研究组有11例患者出现该症状，占据比例为16.92%，对照组有3例，占据比例为4.62%，结果存在显著性差异，有统计学意义（P＜0.05）；在临床危险因素中，研究组患者的高血压、糖尿病、高胆固醇血症危险因素要多于对照组患者，差异具有统计学意义（P＜0.05），而对照组患者的高甘油三脂血症与家族史因素要明显多于研究组患者，差异具有统计学意义（P＜0.05）。结论针对老年急性心肌梗塞患者进行临床特征分析能够进一步了解老年患者的患病情况与问题，使患者临床能够做到针对性治疗，提高临床治疗效果。objective clinical features of elderly patients with acute myocardial infarction are analyzed.Methods65cases of elderly patients with acute myocardial infarction in our hospital from August2014to August2015were made as the research object in this paper,as the study group,and in the same period were selected in65cases of youth as the research object,the control group,analysis and comparison of two groups of patients.Results by analysis results,this paper on the infarct,infarct group patients with extensive anterior wall,the wall and parts and is back wall is seen,control group patients were used before wall,partition wall,lateral wall is seen,the results there are significant differences between groups,with statistical significance(P<0.05);On the clinical characteristics,clinical research patients appear to painless atypical features of30cases,occupy46.15%,the control group in5cases,occupy7.69%,compared with the results exist significant difference,was statistically significant(P<0.05),on the disturbance of consciousness,the team of11patients the symptoms,occupy16.92%,the control group in3cases,occupy4.62%,the results exist significant differences,with statistical significance(P<0.05).In the clinical risk factors,the team in patients with high blood pressure,diabetes,hypercholesterolemia in patients with risk factors than the control group,the difference is statistically significant(P<0.05),while the control group in patients with high triglycerides hematic disease and family history factors significantly more than the group of patients,statistically significant difference(P<0.05).Conclusion for elderly patients with acute myocardial infarction in clinical characteristics analysis can further understand the situation and problems of elderly patients,the patients clinical can do targeted treatment,improve the effect of clinical treatment.

关 键 词：心肌梗塞 临床特征 分析 

分 类 号：R542.22[医药卫生—心血管疾病]