老年急性心肌梗死68例临床分析

目的探讨老年急性心肌梗死患者的临床特点。方法选取老年及非老年急性心肌梗死患者各68例,分别作为观察组和对照组。对两组患者临床资料进行回顾分析,统计主要症状、梗死部位、合并疾病、并发症以及死亡率。结果观察组患者发生典型胸痛者仅占39.71%,明显低于对照组的75.00%;观察组患者前壁心肌梗死51.47%,明显高于对照组35.29%的比例;72.06%的观察组患者合并有高血压或糖尿病,明显高于对照组患者60.29%的比例;观察组患者发生并发症和死亡几率分别为33.82%和22.06%,明显高于对照组10.29%和7.35%的比例。上述比较差异明显,有统计学意义(P<0.05)。结论老年急性心肌梗死临床症状不典型,且并发症和死亡率均较高,在临床工作中应给予充分重视,严密观察,提高老年急性心肌梗死患者的生存率和生活中质量。

Clinical observation on 68 elderly patients with acute myocardial infarction

Objective To observe the clinical characteristics of elderly patients with acute myocardial infarction.Methods 68 elderly patients with acute myocardial infarction and 68 non aged patients with acute myocardial infarction were selected as the observation group and the control group.The clinical data of 2 groups were analyzed retrospectively.Censusing the main symptoms,infarctions,combined disease,complications and mortality rate.Results The patients occurring typical chest pain in the observation group account for only 39.71%,which is lower significantly than the control group of 75.00%.The patients with anterior wall myocardial infarction account for 51.47%,which is higher evidently than the control group of 35.29%.There are 72.06% patients in the observation group occurring hypertension or diabetes mellitus,which is higher significantly than the control group of 10.29% and 7.35%.The difference above is significant and has statistical significance(P < 0.05).Conclusion The clinical symptom of senile acute myocardial infarction is not typical,complications and mortality are high,which should be given full attention in clinical work and observed tightly to improve the survival rate and life quality of elderly patients with acute myocardial infarction.