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急性心肌梗塞介入治疗时性别对预后的影响
引用本文:张永强,盖晓波,颜光烈. 急性心肌梗塞介入治疗时性别对预后的影响[J]. 心血管康复医学杂志, 2005, 14(5): 453-455
作者姓名:张永强  盖晓波  颜光烈
作者单位:1. 解放军第476医院内一科,福建,福州市,350002
2. 南京军区福州总医院心内科
3. 福建省立医院心血管病研究所内科
摘    要:目的:探讨不同性别急性心肌梗塞(AMI)患者急诊经皮冠状动脉介入治疗(PCI)治疗的预后。方法:连续行急诊PCI的75例AMI患者按性别分为男性组44例和女性组31例,分析两组患者一般临床特征及心血管事件的发生率。结果:与男性组比较,女性组年龄偏大(P〈0.05),糖尿病、高脂血症更显著(P〈0.05);冠状动脉多支病变者更多(P〈0.05);Ⅲ级心力衰竭发生率均更高(P〈0.05);且住院期间复合终点事件及穿刺血管并发症发生率更高(P〈0.05)。结论:急诊经皮冠状动脉介入治疗老年急性心肌梗塞女性疗效不如男性。

关 键 词:急性心肌梗塞 介入治疗 性别 疾病预后 血管成形术
文章编号:1008-0074(2005)05-0453-03
收稿时间:2004-08-24
修稿时间:2004-08-24

Sex-based analysis of outcome in patients with acute myocardial infarction treated predominantly with percutaneous coronary intervention
ZHANG Yong-qiang,GE Xiao-bo,YAN Guang-lie. Sex-based analysis of outcome in patients with acute myocardial infarction treated predominantly with percutaneous coronary intervention[J]. Chinese Journal of Cardiovascular Rehabilitation Medicine, 2005, 14(5): 453-455
Authors:ZHANG Yong-qiang  GE Xiao-bo  YAN Guang-lie
Affiliation:Department of Cardiology, No 476 Hospital of PLA, Fuzhou, Fujian, 350025, China
Abstract:Objective: To evaluate the efficacy of emergency percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) basing on sex. Methods: Seventy-five patients with AMI treated by emergency PCI were divided into the male group (44 cases) and the female group (31 cases). The baseline characteristics and cardiovascular events were analyzed. Results: In female group, the level of age, diabetes and hyperlipemia were significantly higher than those in male group (P<0. 05) ;the multi-branch lesion of coronary and cardiovascular events were significantly more than those in male group (P<0. 05). Conclusion: The emergency PCI in the female AMI is effective, but not as good as that in male AMI.
Keywords:Acute myocardial infarction   Percutaneous coronary intervention   Sex characteristics
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