非ST段抬高型急性心肌梗死的临床特征分析(1)
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[摘要] 目的 分析总结非ST段抬高型急性心肌梗死的临床特征，以便提高临床工作者对其认识。方法 选取2009年4月～2010年4月来我院就诊的急性心肌梗死患者126例，其中NSTEMI组(非ST段抬高型急性心肌梗死)66例、STEMI组(ST段抬高型急性心肌梗死)60例，对两组临床特征进行比较分析。结果 两组患者的年龄、性别、高血压、高血脂及吸烟史差异无统计学意义(P均>0.05)。NSTEMI组糖尿病、反复心绞痛病史率高于STEMI组，差异有统计学意义(P均<0.05)。NSTEMI组CK、TNI峰值均低于STEMI组，差异有统计学意义(P均<0.05)。NSTEMI组多支病变率高于STEMI组，差异具有统计学意义(P<0.05)。结论 NSTEMI组的肌酸肌酶(CK)、肌钙蛋白I(TNI)峰值均低于STEMI组，冠状动脉病变程度则高于STEMI组。
[关键词] 非ST段抬高；急性心肌梗死；临床特征
[中图分类号] R541.4 [文献标识码] B [文章编号] 1673-9701(2011)24-152-02
Non ST Segment Elevation Acute Myocardial Infarction Clinical Analysis
CHEN Shunping
Haifeng County Pengpai Memorial Hospital，Guangdong Province，Haifeng 516400，China
[Abstract] Objective To summary non-ST-segment elevation acute myocardial infarction in clinical characteristics， in order to improve the clinical diagnosis and treatment of its workers. Methods Acute myocardial infarction were elected One hundred and twenty-six cases，including NSTEMI group(non-ST-segment elevation acute myocardial infarction) 66 cases， STEMI group (ST-segment elevation acute myocardial infarction)，60 cases，clinical features of the two groups were compared. Results There were no significant differences was found (P>0.05)in age，sex，hypertension，high cholesterol and smoking history. NSTEMI group of diabetes，high rate of recurrent angina in the STEMI group，by comparison were(P<0.05). NSTEMI group CK，TNI of STEMI group were lower than the peak，by comparison were(P<0.05). NSTEMI group of three，multi-vessel disease was higher than the STEMI group，by comparison with a significant difference ( P<0.05). Conclusion NSTEMI of creatine kinase(CK)，troponin I(TNI)peak is lower than STEMI，coronary artery disease is higher than STEMI.
[Key words] Non-ST-segment elevation；Acute myocardial infarction；Clinical features
急性心肌梗死(acute myocardial infarction，AMI)是指在冠状动脉病变的基础上[1]，冠状动脉急性闭塞血流中断，而出现持久、严重的心肌缺血及部分心肌急性坏死。非ST段抬高型急性心肌梗死(NSTEMI)与ST段抬高型急性心肌梗死(STEMI)在临床表现、病理生理、治疗方案及预后均有一定的差异，为了探讨非ST段抬高型急性心肌梗死的临床特征，本文对我院66例非ST段抬高型急性心肌梗死的临床资料进行回顾性分析，现报道如下。
1 资料与方法
1.1 一般资料
研究对象为2009年4月～2010年4月来我院就诊的126例急性心肌梗死患者，其中男69例，女57例；年龄最小37岁，最大96岁。依据体表心电图是否有ST段抬高将其分为NSTEMI组(非ST段抬高型急性心肌梗死)66例与STEMI组(ST段抬高型急性心肌梗死)60例 ......
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