[1]胡兰文,徐盛开,范玲莉.老年人急性心肌梗死的临床特征及中医证型分析[J].西部中医药,2013,26(06):44-45.
　HU Lanwen,XU Shengkai,FAN Lingli.Clinical Characteristics and Patterns Analysis of Acute Myocardial Infarction in the Elderly[J].Western Journal of Traditional Chinese Medicine,2013,26(06):44-45.
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老年人急性心肌梗死的临床特征及中医证型分析
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
26
期数:
2013年06期
页码:
44-45
栏目:
出版日期:
2013-06-15

文章信息/Info

Title:
Clinical Characteristics and Patterns Analysis of Acute Myocardial Infarction in the Elderly
文章编号:
1004-6852(2013)06-0044-02
作者:
胡兰文，徐盛开，范玲莉
甘肃省人民医院,甘肃 兰州 730000
Author(s):
HU Lanwen, XU Shengkai, FAN Lingli
Gansu Provincial Hospital, Lanzhou 730000, China
关键词:
心肌梗死; 急性; 临床特征; 中医证型
Keywords:
myocardial infarction;  acute;  clinical characteristics;  pattern
分类号:
R542.2
文献标志码:
A
摘要:
目的:探讨老年人急性心肌梗死（AMI）的临床特征，以提高确诊率。方法：收集67例老年AMI住院患者，就其症状和证候进行回顾性分析。结果：男性患者46例（68.66%），女性患者21例（31.34%），老年男性的发病率高于老年女性，两者相比差异具有统计学意义（P＜0.05）；典型症状以典型心绞痛（38.81%）最为多见，其他依次为呼吸困难（28.36%）、胸闷（14.93%）、心悸（11.94%）、上腹部不适（5.97%）；梗死部位以下壁（34.33%）最为多见，其他依次为前壁（26.87%）、广泛前壁（22.39%）、高侧壁（7.46%）、心内膜下（5.97%）、右室（2.99%）；中医辨证分型以痰浊闭塞型(38.8%)最为多见，其他依次为气滞血瘀型(31.3%)、阳气虚型(22.3%)、阴血虚型(7.4%)。结论：老年AMI患者，以胸痛和呼吸困难为多见，梗死部位以下壁和前壁为多见，中医证型以实证为多。
Abstract:
Objective: To discuss clinical characteristics of acute myocardial infarction (AMI) in the elderly and improve the confirmation rate of diagnosis. Method: The information of 67 senile patients with AMI were collected, the symptoms and syndrome were retrospectively analyzed. Result: There were 46 males (68.66%) and 21 females(31.34%), the incidence of AMI for elderly male patients was higher than elderly female patients, the difference between both showed statistical meaning (P＜0.05); typical angina (38.81%) was the most common symptom, others were dyspnea (28.36%), chest stuffiness (14.93%), palpitation (11.94%); epigastric discomfort (5.97%); the infarct area was mostly paries inferior(34.33%), others were anterior wall(26.87%), extensive anterior wall (22.39%), high lateral wall (7.46%), subendocaridal layer (5.97%) and right ventricle(2.99%); The mostly common pattern was obstruction of phlegm-turbid (38.8%), the next were stagnation of Qi and blood(31.3%), deficiency of YangQi (22.3%), deficiency of Yin blood (7.4%). Conclusion: The mostly common symptoms of elderly patients with AMI are chest pain and dyspnea, the infarction areas are subendocaridal layer and anterior wall, the pattern is sthenia mostly.

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备注/Memo

备注/Memo:
收稿日期：2012-12-04 作者简介：胡兰文(1969—)，女，主管技师。研究方向：心电学技术。
更新日期/Last Update: 2013-06-15