摘要
目的收集分析急性心肌梗死患者的临床资料,初步掌握本医院就诊的急性心肌梗死发病流行病学特点,借以了解本地急性心肌梗死发病特点,为有针对性地防控提供支持。方法采用回顾性分析,收集2018年1月~2019年12月期间,医院收治的急性心肌梗死患者住院资料,分析其年龄、性别、基础疾病、发病季节、梗死部位等因素与发病的关系,借以了解掌握本市急性心肌梗死患者发病的流行病学特征。结果共收集450例急性心肌梗死患者病历信息,其中男性所占比例高,共计342例(76%),女性108例。不同年龄段病例中,以60~69岁之间人数所占比例最大,占46.44%。所有病例梗死部位以前壁梗死所占比例最大,达到45.56%。发病高峰集中于冬春两季;男性伴有高血脂、高血压及冠心病的患者所占比例明显高于女性,高血脂、高血压、冠心病为急性心肌梗死发病的危险因素。结论医院就诊的急性心肌梗死病具有其特殊的流行病学特点,系统地开展流行病学调查十分必要。
Objective To understand the pathogenic characteristics of acute myocardial infarction in this prefecture and furnish support for targeted prevention and control through the collection and analysis of the clinical data of patients with acute myocardial infarction in the hospital and preliminary grasp of the epidemiological characteristics concerning the pathogenesis of acute myocardial infarction in patients in this hospital. Methods The data of patients with acute myocardial infarction hospitalized in the hospital from January 2018 to December 2019 were collected and a retrospective analysis was performed to analyze the association between a series of factors(e.g., age, gender, underlying disease, seasons of onset, area of infarction) and the incidence of the disease, in a bid to understand and grasp the epidemiological characteristics concerning the pathogenesis of acute myocardial infarction in patients in this prefecture. Results The medical records of 450 patients with acute myocardial infarction were collected, in which, up to 76% of the patients were male(342 vs. 108). Patients aged 60 to 69 years were dominant among all the patients, accounting for 46.44%. The anterior wall topped among all the areas of infarction, accounting for 45.56%. The peak seasons of onset included winter and spring.The proportion of male patients with hyperlipidemia, hypertension, and coronary heart disease(CHD) was significantly higher than that of female patients. Hyperlipidemia, hypertension, and CHD constituted the risk factors of acute myocardial infarction. Conclusion The patients with acute myocardial infarction admitted to our hospital have their special epidemiological characteristics, thus it is essential to conduct a systematic investigation on epidemiology.
作者
王波
朱文芳
马春萍
王风林
Wang Bo;Zhu Wenfang;Ma Chunping;Wang Fenglin(Linxia Medical Center of Hospital 940,Joint Logistic Support Force of PLA,Linxia,Gansu,731100,China)
出处
《西南国防医药》
CAS
2020年第8期785-787,共3页
Medical Journal of National Defending Forces in Southwest China
关键词
急性心肌梗死
流行病学
分布
危险因素
acute myocardial infarction
epidemiology
distribution
risk factor
