摘要
探讨再发性心肌梗塞的临床危险因素。方法选择符合再发性心肌梗塞诊断标准的再发性心肌梗塞患者５６例，另设初发性心肌梗塞患者１５４例为对照组，两组患者比较高血压、糖尿病、无痛性心肌缺血、梗塞后心绞痛、复杂室性心律失常、高脂血症等指标。结果再发性心梗组与非再梗组比较上述各指标均存在显著性差异（Ｐ＜０．０１），５６例再梗患者死亡１９例（３３．９％）与对照组（１０．４％）相比有非常显著性差异（Ｐ＜０．０１）。结论有效防治老年心梗后心绞痛、无痛性心肌缺血、心力衰竭、复杂室性心律失常及高血压、糖尿病可减少再梗塞的发生。
Objective To study the clinic risk factors of senile recurrent cardiac infarction Methods selected 56 patients with senile recurrent cardiac infaction as case group ,and 154 patients with senile incipient cardiac infarction served as control groups,we compared the index of hypertension,diabetes,painless myocardial ischemia,angina after infarction, complex ventricular arrhythmias and hyperlipidemia in two groups.Results The above indexes in senile recurrent cardiac infarction group were significantly different compared with the groups with incipient cardiac infarction (P<0.01),19 patients died of recurrent cardiac infarction(33.9%), was significantly higher than that of the control groups (10.4%).Conclusion the data showed that the effective prevention and treatment of angina after senile cardiac infarction,painless myocardial ischemia,cardiac failure,complex ventricular arrhythmias,hypertension and diabetes can decrease the incidence of recurrent infarction.
出处
《中国行为医学科学》
CSCD
1997年第3期200-201,190,共3页
Chinese Journal of Behavioral Medical Science
