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[目的]探讨朝鲜族和汉族年轻人急性心肌梗死的危险因素和冠状动脉罪犯血管的分布.[方法]回顾性分析年龄在45岁以下年轻人急性心肌梗死136例患者(朝鲜族为61例,汉族为75例)的临床危险因素和冠状动脉罪犯血管的分布情况.[结果]朝鲜族年轻人急性心肌梗死者吸烟、饮酒及心脑血管病家族史的比率显著高于汉族(P<0.01),其他因素间差异无统计学意义.在心肌梗死罪犯血管中左前降支是最常见的病变血管,其次是右冠状动脉;汉族病变血管支数多于朝鲜族,但相比较差异无统计学意义.[结论]吸烟、饮酒和心脑血管病家族史等因素影响朝鲜族年轻人急性心肌梗死的发生.
[Objective] To explore the risk factors of acute myocardial infarction (MI) and the distribution of coronary artery criminals in Korean and Han young adults. [Methods] A retrospective analysis of 136 young people aged 45 and younger with acute myocardial infarction (Korean 61, (75 Han cases) and the distribution of blood vessels in coronary artery criminals. [Results] The prevalence rates of smoking, alcohol drinking and family history of cardiovascular and cerebrovascular diseases were significantly higher in Korean young adults with acute myocardial infarction than those in Han (P <0.01) , But there was no significant difference among other factors.The left anterior descending coronary artery was the most common vascular lesion in the criminals with myocardial infarction, followed by the right coronary artery.The number of vessels in the Han lesion was more than that in the Korean ethnic group, but the difference was not statistically significant [Conclusion] Factors such as smoking, drinking, family history of cardiocerebrovascular disease and so on affect the occurrence of acute myocardial infarction in Korean young people.