摘要
目的：分析高血压对急性心肌梗死（AMI）患者的影响。方法：将405例AMI患者按入院前有无高血压病史和入院时有无高血压分为4组：A组145例无高血压病史,且入院时血压〈140/90mmHg;B组62例无高血压病史,入院时血压≥140/90mmHg;C组115例有高血压病史,入院时血压〈140/90mmHg;D组83例有高血压病史,且入院时血压≥140/90mmHg。回顾性分析4组临床特点。结果：1四组在年龄、收缩压、舒张压、脉压、心率、胆固醇（TC）、低密度脂蛋白胆固醇（LDL-C）、载脂蛋白B（ApoB）,和糖尿病发病率,女性、前壁梗死、多壁梗死、溶栓比例差异有统计学意义（P〈0.05~0.01）。2与A组比较,B组、D组收缩压、舒张压、脉压高,心率快,LDL-C和Apo B高;B组前壁梗死比例高;C组收缩压、LDL-C高,女性比例高;D组TC高、多壁梗死和溶栓比例低,差别有显著性意义（P〈0.05~0.01）。3与B组比较,C组、D组收缩压、糖尿病发病率高;C组舒张压、脉压低,女性比例、多壁梗死比例高,前壁梗死比例低;D组脉压高,溶栓比例低,差别有显著性意义（P〈0.05~0.01）。4与C组比较,D组收缩压、舒张压、脉压高,前壁梗死比例高,多壁梗死比例低,差别有显著性意义（P〈0.05~0.01）。结论：有高血压病史或入院时有高血压的AMI患者具有更多的危险因素,前壁梗死比例高、多壁梗死和溶栓比例低。
Objection： To investigate the influence of hypertension to patients with acute myocardial infarction（AMI）.Methods： The study was performed in 405 patients who suffered from acute myocardial infarction.According to hypertension history and admission blood pressure,these patients were divided into four groups.A group1（n=145） was without hypertension history,and admission blood pressure was normal.B group（n=62） was without hypertension history,and admission blood pressure was abnormal.C group（n=115） was with hypertension history,and admission blood pressure was normal.D group（n=83） was with hypertension history,and admission blood pressure was abnormal.To retrospective analyze whether there were difficult in clinic characteristics.Results： ①one way analysis of variance and group comparison show that there was significant difference in age,systolic pressure,diastolic pressure,pulse pressure,heart rate,cholesterol（TC）,low-density lipoprotein cholesterol（LDL-C）,apolipoprotein B（apo B）,diabetes morbility,female ratio,anterior infarctus,multi-wall infarctus and thrombolysis ratio among four groups（P0.05~0.01）.②Compared with A group,systolic pressure,diastolic pressure,pulse pressure,heart rate,LDL-C,apo B and anterior infarctus were increased in B group;systolic pressure,LDL-C,and female ratio was increased in C group;systolic pressure,diastolic pressure,pulse pressure,heart rate,TC LDL-C,and apo B was increased,anterior infarctus and thrombolysis ratio was decreased in D group（P0.05~0.01）.③Compared with B group,systolic pressure,diastolic pressure,pulse pressure,heart rate and anterior infarctus ratio were decreased,diabetes morbility,female ratio and multi-wall infarctus were increased in C group;systolic pressure,pulse pressure and diabetes morbility were increased,thrombolysis ratio were decreased in D group（P0.05~0.01）.④Compared with C group,systolic pressure,diastolic pressure,pulse pressure and anteriorinfarctus were increased,multi-wall infarctus were decr
出处
《陕西医学杂志》
CAS
2011年第8期965-967,共3页
Shaanxi Medical Journal
关键词
心肌梗塞
高血压
危险因素
Myocardial infarction Hgpertension Risk factors
