济宁某医院急性心肌梗死患者发病规律及相关因素的分析  

Analysis of the pathogenesis and related factors of acute myocardial infarction patients in a hospital in Jining

作　　者：李安金泰 李志强 鲍欣婕 李文博 王佳怡 夏瑞 李春雨[2] 陈银艳 LI Anjintai;LI Zhiqiang;BAO Xinjie;LI Wenbo;WANG Jiayi;XIA Rui;LI Chunyu;CHEN Yinyan(The Second School of Clinical Medicine,Jining Medicine University,Jining 272013,China;Affiliated Hospital of Jining Medical University,Jining 270029,China)

机构地区：[1]济宁医学院第二临床医学院,山东济宁272013 [2]济宁医学院附属医院,山东济宁270029

出　　处：《黑龙江医药科学》2024年第2期39-41,45,共4页Heilongjiang Medicine and Pharmacy

基　　金：济宁医学院大学生创新训练计划资助项目,编号:cx2022244。

摘　　要：目的:对急性心肌梗死(acute myocardial infarction,AMI)患者基本情况、发病时间、血压和血糖进行回顾性研究,分析其相关性。方法:收集济宁医学院附属医院确诊的276例AMI患者病例,包括性别、患病年龄、月份、昼夜等一般情况,血压、血糖等实验室指标。将患病年龄范围分3个年龄段,根据发病时间分组,分析发病情况与上述一般情况分布差异的关系。将患者按照不同发病时间段分为4组,利用检验进行统计学检验分析患者的发病时间规律。结果:本研究纳入结果中,男209例(75.72%),女67例(24.18%),年龄31~91岁,平均发病年龄(62.40±13.29)岁,男性(59.11±12.42)岁和女性(72.67±10.52)岁,患者平均发病年龄间差异具有显著性(t=-8.056,P=0.000)。在一天中,AMI患者在6:00-11:59时间段发病人数最多,18:00-23:59时间段次之,0:00-5:59时间段发病人数最少,构成比差异有统计学意义(χ^(2)=8.406,P=0.038)。一天中男性和女性患者时间分布差异无显著性(χ^(2)=1.159,P=0.678),糖尿病患者与非糖尿病患者时间分布差异无显著性(χ^(2)=5.561,P=0.135),高血压与非高血压患者时间分布差异亦无显著性(χ^(2)=0.325,P=0.955)。结论:急性心肌梗死发病存在年龄和性别差异,老年多见,男性多于女性,且存在昼夜节律,1d中AMI发病高峰在6:00-11:59,且AMI时间分布与糖尿病、高血压无关。Objective:To conduct a retrospective study on the basic conditions,onset time,blood pressure and blood glucose of patients with acute myocardial infarction(AMI),and to analyze their correlation.Methods:A total of 276 cases of AMI patients confirmed by the Affiliated Hospital of Jining Medical College were collected,including gender,age,month,day and night,and laboratory indicators such as blood pressure and blood glucose.The age range of the disease was divided into three age groups,and the relationship between the incidence and the above general distribution differences was analyzed according to the time of onset.The patients were divided into four groups according to different onset time periods,and the test was used to analyze the onset time of patients by statistical tests.Results:In the results of this study,there were 209 males(75.72%)and 67 females(24.18%),the age range of patients was 31~91 years,the mean age of onset was(62.40±13.29)years,males(59.11±12.42)and females(72.67±10.52),and the difference between the mean age of onset of patients was significant(t=-8.056,P=0.000).In a day,the number of patients with AMI was the highest in the 6:00-11:59 period,followed by the 18:00-23:59 period,and the lowest incidence in the 0:00-5:59 period,and the composition ratio was statistically significant(χ^(2)=8.406,P=0.038).There was no significant difference in the time distribution between male and female patients in one day(χ^(2)=1.159,P=0.678),there was no significant difference in the time distribution between diabetic and non-diabetic patients(χ^(2)=5.561,P=0.135),and there was no significant difference in the time distribution between hypertensive and nonhypertensive patients(χ^(2)=0.325,P=0.955).Conclusion:There are age and sex differences in the incidence of acute myocardial infarction,more common in the elderly,more in men than in women,and there is a circadian rhythm,the peak incidence of AMI is 6:00-11:59 in the day,and the distribution of AMI time is not related to diabetes and hypertension.

关 键 词：急性心肌梗死 发病时间 昼夜分布 

分 类 号：R541[医药卫生—心血管疾病]