[1]陈 健.急性心肌梗死合并脑梗死的危险因素及临床特点[J].医学信息,2021,34(10):122-124.[doi:10.3969/j.issn.1006-1959.2021.10.034]
　CHEN Jian.Risk Factors and Clinical Features of Acute Myocardial Infarction Combined with Cerebral Infarction[J].Medical Information,2021,34(10):122-124.[doi:10.3969/j.issn.1006-1959.2021.10.034]
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急性心肌梗死合并脑梗死的危险因素及临床特点()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年10期
页码:
122-124
栏目:
论著
出版日期:
2021-05-15

文章信息/Info

Title:
Risk Factors and Clinical Features of Acute Myocardial Infarction Combined with Cerebral Infarction
文章编号:
1006-1959（2021）10-0122-03
作者:
陈 健
（天津市蓟州区人民医院心内一科，天津 301900）
Author(s):
CHEN Jian
(Subject One,Department of Cardiology,People’s Hospital of Jizhou District,Tianjin 301900,China)
关键词:
急性心肌梗死; 脑梗死; 心功能分级
Keywords:
Acute myocardial infarction; Cerebral infarction; Cardiac function classification
分类号:
R542.2；R743
DOI:
10.3969/j.issn.1006-1959.2021.10.034
文献标志码:
A
摘要:
目的 研究急性心肌梗死合并脑梗死的危险因素及临床特点。方法 选择2017年10月~2020年10月我院收治的62例急性心肌梗死合并脑梗死患者作为并发组，另选取同期在我院治疗的单纯急性心肌梗死和脑梗死患者各60例分别作为对照A组和对照B组，比较三组的临床特点，分析急性心肌梗死合并脑梗死危险因素。结果 并发组患者男性比例、既往脑梗死病史率、外周血管病史率、血肌酐水平高于对照A组和对照B组，入院舒张压、收缩压低于对照A组和对照B组，差异均有统计学意义（P＜0.05）；对照A组和对照B组年龄、高血压病史、糖尿病史、房颤病史、入院心率、空腹血糖（FPG）及血清总胆固（TC）比较，差异无统计学意义（P＞0.05）；Logistic 多因素回归分析显示，男性、既往脑梗病史、血肌酐水平是急性心肌梗死合并脑梗死的危险因素；并发组心功能分级Ⅱ级及以上比例高于对照A组和对照B组，多发脑梗死发生率高于对照B组，差异有统计学意义（P＜0.05）。结论 急性心肌梗死并发脑梗死的独立危险因素主要为男性、存在既往脑梗死以及血肌酐升高，临床主要特征为心功能不全、多发性脑梗死。
Abstract:
Objective To study the risk factors and clinical characteristics of acute myocardial infarction combined with cerebral infarction.Methods A retrospective analysis of 62 patients with acute myocardial infarction combined with cerebral infarction admitted to our hospital from October 2017 to October 2020 as the concurrent group.In addition, 60 patients with simple acute myocardial infarction and 60 patients with cerebral infarction treated in our hospital during the same period were selected as control group A and control group B, respectively.The clinical characteristics of the three groups were compared, and the risk factors of acute myocardial infarction combined with cerebral infarction were analyzed.Results The proportion of males in the concurrent group, the history of cerebral infarction, the history of peripheral vascular disease, and the level of serum creatinine were higher than those in the control group A and the control group B, and the admission diastolic and systolic blood pressure were lower than those in the control group A and the control group B,the differences were statistically significant(P＜0.05);There was no significant difference in age, history of hypertension, history of diabetes, history of atrial fibrillation, hospitalized heart rate, fasting blood glucose (FPG) and serum total cholesterol (TC) between control group A and control group B (P>0.05);Logistic multivariate regression analysis showed that males, past history of cerebral infarction, and blood creatinine levels were risk factors for acute myocardial infarction combined with cerebral infarction;The ratio of cardiac function grade II and above in the concurrent group was higher than that of the control group A and the control group B, and the incidence of multiple cerebral infarctions was higher than that of the control group B,the difference was statistically significant (P<0.05).Conclusion The independent risk factors for acute myocardial infarction complicated with cerebral infarction are mainly male, the existence of previous cerebral infarction and the increase of serum creatinine. The main clinical features are cardiac insufficiency and multiple cerebral infarction.

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更新日期/Last Update: 1900-01-01