探讨青壮年急性心肌梗死相关的危险因素及干预措施.docx

探讨青壮年急性心肌梗死相关的危险因素及干预措施
【摘要】 目的 探讨青壮年人急性心肌梗死相关的危险因素、特征、发病特点,有针对性早期干预控制危险因素，监控高危人群，预防和延缓冠心病和急性心肌梗死的发生和。方法 回顾分析36例患者的临床资料。结果 青壮年人心肌梗死危险因素依次为吸烟(%)、血脂增高(%)、高血压(%)、平时精神压力大、超重及肥胖症、饮酒史、糖尿病；危险因素及诱发危险因素劳累、饮酒、情绪激动、饱餐。结论 清楚与青壮年AMI有关的危险因素和发病诱因，积极做好预防干预对防治心肌梗死发生发展有其意义重大。
　　【关键词】 青壮年;急性心肌梗死;危险因素;冠状动脉疾病
　　Young adults with acute myocardial infarction of the risk factors and interventions
　　Henan Province Xingxiang medical school first affiliated hospital heart internal medicine department Liu hui 453100
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　　【Abstract】 Objective Acute myocardial infarction in young people related risk factors, clinical characteristics, disease characteristics, targeted control of risk factors for early intervention, monitoring high-risk groups, prevention and coronary heart disease and delay the occurrence of acute myocardial infarction and development. Methods The clinical data of 35 patients were retrospective analyzed. Results The risk factors for myocardial infarction in young adults who were smoking(%), elevated blood lipids(%), hypertension(%), normal mental stress(%), overwght and obesity(%), drinking history(%), diabetes(%); risk factors and risk factors inducing fatigue(%), drinking(%), agitation(25%), meal(%). Conclusion The clear and young AMI-related risk factors and predisposing factors, active control preventive intervention on the development of myocardial infarction has great significance. 
　　【Key words】 Young; Acute myocardial infarction; Risk factors; Coronary artery disease
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　　随着我国人民生活水平的提高和生活方式的改变,青壮年人心肌梗死呈现增多趋势,而且发病年龄趋向年轻化,甚至低龄化［1］。本文分析近几年该院收治年龄≤45岁的急性心肌梗死(AMI)患者，探讨与青年型AMI相关的危险因素及干预,现如下。
　　1 资料与方法
　　一般资料 2005年10月至2010年4月我院收治的AMI患者中有36例青壮年AMI患者(青壮年组≤45岁)，约占同期心肌梗死住院患者的%，男29例,女7例;年龄31~45岁,平均岁。对照组定为老年组(55岁)，从我院心内科同期心肌梗死住院患者中随机抽出36例AMI,男28例,女8例;年龄55~82岁,平均岁。青壮年组36例均有典型心前区及胸骨后剧烈疼痛，老年组36例中有21、冠心病家族史、精神压力大、超重有关。青壮年组区别于老年组患者有显着的差异的危险因素有吸烟史、饮酒史、冠心病史、精神压力大、超重；发病诱因与劳累、情绪激动、大量的饮酒、饱餐等有关。

　　3 讨论
　　随着我国人民生活水平的提高和生活方式的改变,冠状动脉性心脏病已成为威胁人类健康的主要疾病之一 Choudhurg L,Marsh JD,James　infarction in young　J Med,1999,107:254-261.
　　［2］ Tavani　of selected lifestyle factors on risk of acute myocardial infarction in subjectswith familial predisposition for the　Med,2004,38:468-472.
　　［3］ 林小娟.青壮年急性心肌梗死的危险因素分析及干预.河南职工院学报.2010,22(3):308.