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中国急性心肌梗死患者心血管危险因素分析 被引量:153

Cardiovascular Risk Factor Analysis for Acute Myocardial Infarction Patients in China
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摘要 目的:描述中国急性心肌梗死(AMI)患者心血管危险因素的分布情况。 方法:采用中国AMI注册登记(CAMI)研究的数据,选取从2013—01—01至2014—03—31期间全国31个省、市和自治区的107家医院连续入选的AMI患者(包括ST段抬高型心肌梗死和非ST段抬高型心肌梗死),入选患者从发病至医院就诊的时间在7天之内。危险因素采用调查问卷的方式收集。可纠正危险因素包括吸烟、超重/肥胖、高血压、血脂代谢异常、糖尿病;生活方式危险因素包括缺乏运动、喜食肥腻食物;不可纠正危险因素包括早发冠心病家族史。 结果:该研究共收集17773例AMI患者,在数据资料填写完整并纳入分析的15998例(90%)患者中,71.1%为ST段抬高型心肌梗化,74.0%为男性,平均年龄为(61.8±15.0)岁,平均体重指数为(24.6±12.2)kg/m^2。在可纠正的心血管危险因素中,吸烟(54.4%)、超重/肥胖(53.9%)和高血压(51.2%)位居前三,其次为糖尿病(19.5%)和血脂代谢异常(7.7%).26.6%的AMI患者有≥3个可纠正的危险因素,而8.7%的AMI患者没有任何可纠正的危险因素。3.6%的患者有早发心血管病家族史。76.2%的患者经常进食肥腻饮食,79.6%的患者缺乏运动。与男性患者相比,女性患者年龄较高[(67.4±14.4)岁vs(59.8±14.8)岁],合并高血压(61.8%vs47.5%)和糖尿病(25.5%vs17.4%)的患者更多;而男性患者中正在吸烟/有吸烟史(69.2%vs12.1%)和有血脂代谢异常病史的患者(8.1%vs6.7%)显著多于女性(P均〈0.05)。≤55岁的患者占27.9%,其中男性(88.9%vs68.2%)、体重指数[(25.2±8.4)kg/m^2vs(24.4±13.3)kg/m^2],血脂代谢异常(10.0%vs6.8%)、吸烟(70.1%vs48.3%)、有早发心血管家族史(6.6� Objective: To describe the cardiovascular risk factor distribution for acute myocardial infarction (AMI) patients m China. Methods: Based onthe information of Chinaacute myocardial infarction (CAMI) registry, we studied 17773 consecutive AMI patients from 107 hospitals among 31 provinces, cities and autonomous districts nationwide form 2013- 01-01 to 2014-03-31. The patients included STEMI and non-STEMI, they were admitted within 7 days of onset and thecardiovascular risk factors were collected by questionnaire survey. The reparable risk factors were defined as smoking, over weight/obese, hypertension, dyslipidemia, diabetes, unhealthy living style as lack of excise and taking greasy food; un-reparable risk factor was defined asthe family history of premature CAD. Results:There were 15998/17773 (90%) AMI patients with entire information enrolled for analysis, of whom 71.1% with STEMI and 74.0% with non-STEMI at the mean age of (67.4 ±14.4) years and mean BMI of (24.6±12.2) kg/m^2. The first 3 reparable risk factors were smoking (54.4%), weight/obese (53.9%) and hypertension (51.2%), followed by diabetes (19.5%) and dyslipidemia (7.7%). There were 26.6% AMI patients with〉3 reparable risk factors, 8.7% without reparable risk factor; 3.6% with the family history of premature CAD. There were 76.2% of patientstaking moregreasy food, 79.6% lack of excise. Compared with male patients, female were with elder age (67.4 ±14.4) years vs (59.8 ±14.8) years, more hypertension (61.8% vs 47.5%) and more diabetes (25.5% vs 17.4%); while male patients were more with smoking history (69.2% vs 21.1%) and dyslipidemia (8.1% vs 6.7%), all P〈0.05. There were 4458/15998 (27.9%) patients 〈 55 years of age, compared with those 〉 55 years, they were more with male gender (88.9% vs 68.2%), higher BMI (25.2 ±8.4) kg/m^2 vs (24.4 ±13.3) kg/m^2, more dyslipidemia(10.0% vs 6.8), more smokers (70.1% vs 48.3%), taking more greasy foo
作者 高晓津 杨进刚 杨跃进 许海燕 吴元 李卫 王扬 唐欣然 孙毅 乔国芳 宋雷 伏蕊 孙慧 严欣欣 董秋婷 张璇 叶蕴青 金辰 GAO Xiao-jin,YANG Jin-gang, YANG Yue-jin, XU Hai-yan, WU Yuan, LI Wei, WANG Yang, TANG Xin-ran, SUN Yi, QIAO Guo-fang, SONG Lei, FU Rui, SUN Hui, YAN Xin-xin, DONG Qiu-ting, ZHANG Xuan, YE Yun-qing, JIN Chen, On behalf of the study group of China Acute Myocardial Infarction Registry (Department of Cardiology, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC, Beijing (100037), China)
出处 《中国循环杂志》 CSCD 北大核心 2015年第3期206-210,共5页 Chinese Circulation Journal
基金 国家“十二·五”科技支撑计划课题:心血管疾病及其危险因素监测、预防和治疗关键技术研究(2011BAI11B02)
关键词 急性心肌梗死 心血管危险因素 吸烟 超重/肥胖 高血压 Acute myocardial infarction Cardiovascular risk factors Smoking Overweight/obesity Hypertension
作者简介 高晓津 副主任医师 博士 主要研究方向为冠心病和心力衰竭 Email:sophie_gao@sina.com 通讯作者:杨跃进Email:yangyjfw@126.com
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参考文献13

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