不同年龄急性心肌梗死患者心脏超声观察分析  

Observation and analysis of the cardiac ultrasound of patients atdifferent ages with acute myocardial infarction

作　　者：李宁 LI Ning(Department of Ultrasound,the Second People's Hospital of Huludao City in Liaoning Province,Huludao 125001,China)

机构地区：[1]辽宁省葫芦岛市第二人民医院超声科,辽宁葫芦岛125001

出　　处：《中国现代医生》2020年第19期97-99,共3页China Modern Doctor

摘　　要：目的分析不同年龄急性心肌梗死患者心脏超声检查结果,以最大限度提升诊治成效、改善患者预后提供可行性借鉴。方法应用最新医学样本勘验对比法,选取2017年6月~2019年6月我院收治的110例急性心肌梗死患者,依照实验需求均分为两个年龄段,分别为对照组(n=55例,<60岁)和观察组(n=55例,≥60岁),通过检查结果分析心脏异常指标、血清中心肌损伤标志物开始升高时间情况。结果观察组和对照组在心脏异常指标数值上分别为100.00%(55/55)和81.82%(45/55),差异有统计学意义(χ^2=28.167,P=0.000<0.05)。对照组和观察组在CK、CK-MB、LDH1、AST血清中心肌损伤标志物开始升高时间上数值分别为(4.2±0.1)h和(5.7±0.2)h、(2.1±0.3)h和(3.8±0.2)h、(25.7±10.5)h和(36.0±12.1)h、(5.6±1.4)h和(9.3±2.7)h,差异有统计学意义(P<0.05)。结论<60岁急性心肌梗死患者,心脏超声检查结果较≥60岁患者临床表现更不突出、耗时更长,临床强化对<60岁急性心肌梗死患者的重视,可为患者救治赢得最佳时机。Objective To analyze the results of cardiac ultrasound examination in patients at different ages with acute myocardial infarction,so as to provide feasible reference for improving the diagnosis and treatment effect and ameliorating prognosis of patients to the greatest extent.Methods Through the latest medical sample inspection and comparison method,110 patients with acute myocardial infarction admitted to our hospital from June 2017 to June 2019 were selected and divided into two age groups according to the experimental requirements,namely,control group(n=55,age<60 years old)and observation group(n=55,age≥60 years old).The cardiac abnormality index and the time serum myocardial injury markers started to rise were analyzed through examination results.Results The comparison between the observation group and the control group in cardiac abnormality index values was 100.00%(55/55)to 81.82%(45/55),with statistically significant difference(χ^2=28.167,P=0.000<0.05).The comparison between the control group and the observation group in numerical value of CK,CK-MB,LDH1 and the time when AST myocardial injury markers in serum began to rise was respectively(4.2±0.1)h vs.(5.7±0.2)h,(2.1±0.3)h vs.(3.8±0.2)h,(25.7±10.5)h vs.(36.0±12.1)h,(5.6±1.4)h vs.(9.3±2.7)h,with statistically significant difference(P<0.05).Conclusion As for patients<60 years old with acute myocardial infarction,the results of cardiac ultrasound examination are less clinically prominent and take longer than those of patients≥60 years old.Strengthening clinical attention to patients<60 years old with acute myocardial infarction can win optimal time for treatment of the patients.

关 键 词：急性心肌梗死 心脏超声 CK-MB LDH1 AST 

分 类 号：R542.22[医药卫生—心血管疾病]