摘要
目的研究急性心肌梗死患者发病的临床流行病学特点。方法采用回顾性分析的形式,对2016年1月—2018年1月期间该院所收治的80例急性心肌梗死资料进行分析。评价急性心肌梗死患者的临床发病特征。结果不同年龄阶段急性心肌梗死患者发病以及死亡情况分析中,青年组发病1.25%、中年发病33.70%、老年发病50.00%、高龄发病15.00%,青年组男女占比为1.25:0;中年组男女占比27.5:6.2;老年占比25∶25;高龄占比11.25∶3.8。死亡共28例,其中青年0例、中年6例(男性1.25%)、老年12例(男3.75%,女10%)、高龄10例(男15%,女5%)。急性心肌梗塞的多发季节分析中,8月发病46例(57.5%)、7月发病14例(17.5%)、4月12例(15%)、1月6例(7.5%)、3月2例(2.5%)。不同年龄组急性心肌梗死患者首发症状分析中,青年典型发病1例,首发0例;中年典型发病18例,首发9例;老年典型发病32例,首发8例;高龄典型发病7例,首发5例。结论针对急性心肌梗死流行病学特征制定预防计划,在主要季节以及特别年龄段加强护理,及时做好人员储备工作,对女性死亡率高的原因重点关注,强化老年首发症状以及不典型症状的病症变化情况,以此最大程度保障患者生命安全。
Objective To study the clinical epidemiological characteristics of patients with acute myocardial infarction.Methods A retrospective analysis was performed to analyze the data of 80 patients with acute myocardial infarction admitted to our hospital from January 2016 to January 2018. To evaluate the clinical features of patients with acute myocardial infarction. Results In the analysis of morbidity and mortality in patients with acute myocardial infarction at different ages,the young group had a morbidity of 1.25%, a middle-aged incidence of 33.70%, elderly morbidity of 50.00%, and an advanced age of 15.00%. The youth group accounted for 0∶1.25 the middle-aged group of male to female is 27.5: 6.2;the proportion of old age is 25∶25;the proportion of senior age is 11.25∶3.8. There were 28 deaths, including 0 cases in young people, 6 cases in middle age(1.25% in men), 12 cases in old age(3.75% in males, 10% in females), and 10 cases in seniors(15% males and 5% females). In the multi-seasonal analysis of acute myocardial infarction, 46 cases(57.5%) occurred in August, 14 cases(17.5%) occurred in July, 12 cases(15%) in April, and 6 cases(7.5%) in January, 2 cases(2.5%) in March. In the analysis of the first symptom of patients with acute myocardial infarction in different age groups, 1 case of typical onset of young people, 0 cases of first onset;18 cases of typical middle-aged disease, 9 cases of initial onset;32 cases of typical onset of senile, 8 cases of initial onset;7 cases of typical onset of old age, starting 5 cases. Conclusion To develop a prevention plan for the epidemiological characteristics of acute myocardial infarction, strengthen nursing in the main seasons and special age groups, and timely perform personnel reserve work, focusing on the causes of high female mortality, and strengthening the first symptoms of adolescents and the symptoms of atypical symptoms changes in order to maximize the safety of patients.
作者
廖聃
LIAO Dan(Department of Cardiology,Chibi People's Hospital,Chibi,Hubei Province,437300 China)
出处
《中外医疗》
2019年第4期84-86,共3页
China & Foreign Medical Treatment
关键词
急性心肌梗死
流行病学
临床特征
分析
Acute myocardial infarction
Epidemiology
Clinical features
Analysis
