326例青年急性心肌梗死患者伴随疾病分析  

Study on the concomitant diseases in 326 young patients with acute myocardial infarction

作　　者：黄宜林 李崇剑[2] 楚军民[3] 杨瑛 郑聪毅 邵澜[1] 田野[1] 张林峰[1] HUANG Yi-lin;LI Chong-jian;CHU Jun-min;YANG Ying;ZHENG Cong-yi;SHAO Lan;TIAN Ye;ZHANG Linfeng(Division of Prevention and Community Health,Fuwai Hospital and National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100032,China;Center of Coronary Heart Disease,Fuwai Hospital and National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100032,China;Cardiac Surgical Department,Fuwai Hospital and National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100032,China;Heart Center,The First Hospital of Tsinghua University,Beijing 100124,China)

机构地区：[1]北京协和医学院中国医学科学院阜外医院国家心血管病中心社区防治部,北京市100032 [2]北京协和医学院中国医学科学院阜外医院冠心病中心,北京市100032 [3]北京协和医学院中国医学科学院阜外医院成人外科中心,北京市100032 [4]清华大学第一附属医院心脏中心

出　　处：《中国心血管病研究》2022年第12期1068-1072,共5页Chinese Journal of Cardiovascular Research

基　　金：国家自然科学基金(81973117)。

摘　　要：目的 分析青年急性心肌梗死(acute myocardiac infaction,AMI)患者的伴随疾病情况,为在青年人群中开展AMI防治工作提供参考。方法 系统收集2019年5月至2020年5月期间在中国医学科学院阜外医院住院的全部45岁以下AMI患者的病历资料,对出院诊断中的伴随疾病情况进行描述性分析。结果326例青年AMI患者中,循环系统的伴随疾病主要是高血压(50.00%的患者伴有高血压),除外循环系统的疾病中消化系统疾病最为常见(60.43%),其中反流性食管炎最为常见(50.00%),其次是以高胆固醇血症、2型糖尿病、高尿酸血症为主的多(患病率分别为24.85%、22.39%和11.04%),内分泌、营养和代谢性疾病(51.84%)。其他疾病肝功能异常较常见(26.69%),其他疾病患病率都在5%以下。结论 青年AMI患者的伴随疾病主要是高血压、高胆固醇血症、2型糖尿病、高尿酸血症、反流性食管炎和肝功异常。应加强对青年AMI患者的血压、血糖、血脂管理以及对反流性食管炎和肝功异常的病因分析和治疗,同时对上述疾病与青年AMI的因果关系进行深入研究。Objective To analyze the concomitant diseases of young patients with acute myocardial infarction(AMI)to provide a reference for the prevention and treatment of AMI in young people.Methods The medical records of all the hospitalized AMI patients under 45 years old treated in Fuwai Hospital of the Chinese Academy of Medical Sciences from May 2019 to May 2020 were systematically collected,and the discharge diagnosis was analyzed.Results Among the 326 young AMI patients,hypertension was the main concomitant disease of the circulatory system(50.00%of the patients had hypertension).While outside the circulatory system,digestive system disease was the most common(60.43%),in which reflux esophagitis was the most common(50.00%),followed by endocrine,nutritional and metabolic diseases(51.84%),among which hypercholesterolemia,type 2 diabetes,and hyperuricemia were more common(24.85%,22.39%and 11.04%respectively).The prevalence of other diseases was all below 5%,except for the abnormal liver function(26.69%).Conclusion The accompanying diseases of young AMI patients are mainly hypertension,hypercholesterolemia,type 2 diabetes,hyperuricemia,reflux esophagitis and abnormal liver function.The relavent management should be strengthened,as well as the etiological analysis and treatment should be studied in depth.

关 键 词：急性心肌梗死 伴随疾病 青年患者 

分 类 号：R541[医药卫生—心血管疾病]