非ST段抬高性心肌梗死与ST段抬高性心肌梗死的临床特征分析

目的:分析非ST段抬高性心肌梗死与ST段抬高性心肌梗死的临床特征。方法:选择我院2010年6月~2011年12月急性心肌梗死患者92例,按临床心电图检查结果有无ST段抬高分为两组,42例ST段抬高性心肌梗死患者为STE MI组,50例非ST段抬高性心肌梗死患者为NSTE MI组,对两组患者临床特征进行分析。结果:非抬高组冠状动脉病变以3支病变为主,所占比例大大高于抬高组,抬高组单支病变所占比例较大,大大高于非抬高组,两组比较差异具有显著性,有统计学意义,P<0.05。心绞痛、糖尿病患者易出现非ST段抬高性心肌梗死,而抬高组易发生心律失常;再灌注心肌治疗率明显高于非抬高组,两组比较差异具有显著性,有统计学意义,P<0.05。两组死亡率比较差异无显著性,无统计学意义,P>0.05。结论:糖尿病患者易发生非ST段抬高性心肌梗死,容易反复心绞痛发作,冠脉病变多为多支,患者预后较差。

The St-segment Elevation Myocardial Infarction Sex with St-segment Elevation Myocardial Infarction of the Clinical Characteristics Analysis

Objective:To analyse the st-segment elevation myocardial infarction sex with st-segment elevation myocardial infarction of the clinical features.Methods:Choose our hospital in June 2010~2011 in December,92 patients with acute myocardial infarction,according to clinical ecg results for st-segment elevation divided into two groups,42 patients with st-segment elevation myocardial infarction patients up for sex group,50 cases of st-segment elevation myocardial infarction patients for the sex drive up group,two groups of patients for clinical characteristics are analyzed.Results:The drive up group coronary artery pathological changes to 3 branch of pathological changes is given priority to,much higher than the proportion of drive up,drive up group of single lesions large proportion,are much higher than the drive up group,two groups of comparisons with significant difference,there is statistical significance,P<0.05.Angina,patients with diabetes to not be st-segment elevation myocardial infarction sex,and drive up group vulnerable to rhythm of the heart wrong;Myocardial reperfusion therapy significantly higher than the drive up group,two groups of comparisons with significant difference,there is statistical significance,P<0.05.Two groups of mortality is no significant differences,no statistical significance,P>0.05.Conclusion:Patients with diabetes to occur the st-segment elevation myocardial infarction sex,easy to repeated heart attacks,coronary lesions for more teams,patients with poor prognosis.