云南高原地区汉族人群心肌梗死患者危险因素分析

张汝强; 马元平; 吕品轶; 刘萍; 王芳

云南高原地区汉族人群心肌梗死患者危险因素分析

昆明医科大学附属延安医院麻醉科

基金项目:

基金：云省应科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2013FZ288);

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出版历程
- 收稿日期: 2017-03-20

Risk Factors of Myocardial Infarction in Chinese Han Population of Yunnan Province

Funds:

基金：云省应科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2013FZ288);

摘要

摘要: 目的分析探讨云南高原地区汉族人群心肌梗死的相关危险因素.方法选择2013年10月至2015年12月期间昆明医科大学附属延安医院500名心肌梗死患者和350名非冠心病患者, 以年龄和性别分为中青年女性组、老年女性组、中青年男性组和老年男性组, 筛选可能的CAD/MI危险因素.结果与中青年女性心梗的相关危险因素为冠心病家族史和糖尿病, 与老年女性心梗的相关危险因素为高血压和糖尿病, 与中青年男性心梗的相关危险因素为冠心病家族史、肥胖和吸烟史, 与老年男性心梗的相关危险因素为肥胖、糖尿病和LDL.结论CAD/MI相关危险因素与患者的年龄和性别密切相关, 需要根据年龄段和性别采取有针对性的预防措施, 降低CAD/MI发病率.
- 心肌梗死 /
- 危险因素 /
- 年龄 /
- 性别
Abstract: Objective To investigate the risk factors of myocardial infarction in Han population from Yunnan province. Me thods 500 myocardial infarction patients and 350 non CHD patients were selected in the affiliated Yanan Hospital of Kunming Medical University from October 2013 to December 2015.These patients were divided into young female group, aged female group, male group and aged male group by age and gende.CAD/MI possible risk factors were collected. Re s ults Diabetes and family history of CAD were risk factors in young women MI patients. Hypertension and diabetes were risk factors in elderly women MI patients. Family history of CAD, obesity and smoking were risk factors in young male MI patients. Obesity, diabetes and LDL were risk factors in elderly men MI patients. Conclus ion The risk factors of CAD/MI are closely related to the age and gender of the patients, and the preventive measures should be taken according to the age and gender to reduce the incidence of CAD/MI.
- Myocardial Infarction /
- Risk Factors /
- Age /
- Sex

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参考文献(13)

[1]	[1]KIVIPELTO M, T NGANDU, L FRATIGLIONI, et al.Obesity and vascular risk factors at midlife and the risk of dementia and Alzheimer disease[J].Archives of neurology, 2005, 62 (10) :1556-1560.
[2]	[2]FALLAH S, M SEIFI, MFIROOZRAI, et al.Effect of Apolipoprotein E genotypes on incidence and development of coronary stenosis in Iranian patients with coronary artery disease[J].Journal of Clinical Laboratory Analysis, 2011, 25 (1) :43-46.
[3]杨天.冠心病发病危险因素及炎症基因变异与疾病预后的关联研究[D].2015, :1-69
[4]周国忠, 黄文军, 姚常.青壮年急性心肌梗死患者的危险因素分析[J].江西医药, 2015, (6) :506-508.
[5]沈有录, 刘维军, 张青.青海地区冠心病危险因素与冠状动脉病变的相关分析[J].重庆医学, 2015, (35) :4943-4945, 4949.
[6]	[6]JEFFREY SHAMES, SHIMON WEITZMAN, YAEL NECHEMYA, et al..Association of atrial fibrillation and stroke:analysis of maccabi health services cardiovascular database[J].The Israel Medical Association journal:IMAJ, 2015, 17 (8) :486-491.
[7]	[7]ELSAYED Z, SOLIMAN FAYE, WESLEY T, et al.Atrial Fibrillation and Risk of ST-Segment-Elevation Versus Non-ST-Segment-Elevation Myocardial Infarction:The Atherosclerosis Risk in Communities (ARIC) Study[J].Circulation, 2015, 131 (21) :1843-1850.
[8]	[8]YAO-JUN, ZHANG, JAVAID IQBAL, et al.Smoking is associated with adverse clinical outcomes in patients undergoing revascularization with PCI or CABG:the SYNTAX trial at 5-year follow-up[J].Journal of the American College of Cardiology, 2015, 65 (11) :1107-1115.
[9]	[9]GABRIELA, VAZQUEZ-BENITEZ, JAY R, et al.Preventable major cardiovascular events associated with uncontrolled glucose, blood pressure, and lipids and active smoking in adults with diabetes with and without cardiovascular disease:a contemporary analysis[J].Diabetes care, 2015, 38 (5) :905-912.
[10]谢炜.老年与青年急性心肌梗死患者的临床特征分析[J].白求恩医学杂志, 2016, 14 (05) :626-627.
[11]	[11]Erland, Erdmann.What is the use of even lower LDL cholesterol by combination therapy A critical viewpoint[J].Deutsche medizinische Wochenschrift (1946) , 2015, 140 (17) :1314-1315.
[12]申旺, 凌寿坚, 叶丽燕, 等.非高密度脂蛋白胆固醇与老年急性冠状动脉综合征病程的相关性[J].热带医学杂志, 2016, (1) :85-87, 115.
[13]马小欣, 高达, 彭萍, 等.中青年急性心肌梗死的临床病因分析[J].现代实用医学, 2016, 28 (01) :41-43.

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