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目的:探讨年轻人急性心肌梗死(AMI)的常见诱因。方法:将≤35岁的AMI患者20例作为青年组,以年龄>35岁的AMI为对照组,对2组的不良生活习惯及诱因进行分析。结果:青年组吸烟20例,凌晨发病20例,运动少20例,睡眠少20例,无一例冠状动脉狭窄≥50%;对照组凌晨发病15例,血脂异常17例,肥胖19例,冠状动脉狭窄≥50%20例;对上述结果进行统计学分析显示,2组均差异有统计学意义(P<0.05~0.01)。结论:吸烟、凌晨发病、运动少、睡眠少是年轻人AMI的主要危险因素;而血脂异常和肥胖等基础疾病是>35岁AMI的危险因素。
Objective: To investigate the common causes of acute myocardial infarction (AMI) in young people. Methods: Twenty patients aged ≤35 years with AMI as the youth group and the AMI> 35 years old as the control group, the bad habits and causes of the two groups were analyzed. Results: There were 20 cases of smoking in young group, 20 cases of morning sickness, 20 cases of exercise less, 20 cases of sleep less, no case of coronary stenosis ≥ 50%; control group onset of illness in 15 cases, dyslipidemia in 17 cases, obesity in 19 cases, coronary artery Strict ≥50% 20 cases; statistical analysis of the above results showed that the two groups were statistically significant differences (P <0.05 ~ 0.01). Conclusion: Smoking, early morning onset, less exercise and less sleep are the major risk factors for AMI in young adults. The underlying diseases such as dyslipidemia and obesity are risk factors for AMI> 35 years old.