新疆克州少数民族急性心肌梗死病人的临床特点分析  

Analysis of clinical features of minority patients with acute myocardial infarction in Kizilsu Kirgiz Autonomous Prefecture of Xinjiang Uygur Autonomous Region

作　　者：毕超[1] 姜婷[1] 王魏魏 李春雨[1] 陈君[1] 赵鹏程[1] 曹瑞莹 陈彦[1] BI Chao;JIANG Ting;WANG Wei-wei;LI Chun-yu;CHEN Jun;ZHAO Peng-cheng;CAO Rui-ying;CHEN Yan(Emergency Center,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院急诊中心,江苏省南京市210029

出　　处：《实用老年医学》2020年第6期585-588,共4页Practical Geriatrics

基　　金：国家自然科学基金(81571873);自治区区域协同创新专项(科技援疆计划)(2018E02097);自治区科技计划项目(2018D07025)。

摘　　要：目的探讨新疆克州少数民族急性心肌梗死(AMI)病人的临床特点。方法收集南京医科大学附属克州人民医院2017年1月至2019年1月住院治疗的192例AMI病人,分为汉族组及少数民族组(维吾尔族及柯尔克孜族),少数民族非老年组及老年组,比较不同组别病人之间临床特征的差异。结果少数民族组病人的BMI、饮酒率、血压,WBC、RBC及PLT计数,心肌肌钙蛋白T(cTnT)、BNP水平均高于汉族组病人,既往“高血压”病史比例、HDL-C水平及三支病变比例均低于汉族组病人(P<0.05或P<0.01)。少数民族非老年组病人的男性比例、经皮冠状动脉介入术(PCI)史比例及TG水平均高于老年组病人,BNP水平低于老年组病人(P<0.05或P<0.01)。结论新疆克州少数民族AMI病人与汉族病人的临床特点存在差异,可能与生活方式、饮食习惯及遗传因素有关。Objective To investigate the clinical features of minority patients with acute myocardial infarction(AMI)in Kizilsu Kirgiz Autonomous Prefecture of Xinjiang Uygur Autonomous Region.Methods A retrospective study was conducted among the patients diagnosed with AMI from January 2017 to January 2019 in Kizilsu Kirgiz Autonomous Prefecture People’s Hospital Affiliated to Nanjing Medical University,including 40 Han patients and 152 minority patients.The data of the clinical features were collected and compared between different groups.Results The levels of body mass index(BMI)and arterial blood pressure,drinking history,the counts of white blood cells(WBC),red blood cells(RBC)and platelets(PLT),the levels of cardiac troponin T(cTnT)and B-type natriuretic peptide(BNP)in minority group were higher than those in Han group(P<0.05 or P<0.01).In Han group,the proportion of patients with hypertension history,the level of high density lipoprotein cholesterol(HDL-C)and the proportion of the three-vessel disease were higher than those in minority group(P<0.05 or P<0.01).The proportion of males,the proportion of patients with previous PCI history and the level of triglyceride(TG)in the minority non-elderly group were higher than those in the minority elderly group.The level of BNP in the minority elderly group was higher than that in the minority non-elderly group.Conclusions There were differences in the clinical features between minority patients and Han patients with AMI in Kizilsu Kirgiz Autonomous Prefecture of Xinjiang Uygur Autonomous Region,which may be related to lifestyle,eating habits and genetic factors.

关 键 词：急性心肌梗死 临床特点 新疆 民族 

分 类 号：R542.22[医药卫生—心血管疾病]