论文部分内容阅读
目的分析高血压对急性心肌梗死患者的影响。方法将患者按入院前有无高血压病史和入院时有无高血压分组:A组145例无高血压病史,且入院时血压140/90mmHg;B组62例无高血压病史,入院时血压≥140/90mmHg。结果 A组具有冠心病易患因素及有关病史的比例均明显高于B组。A组饱餐后诱发AMI的比例高于B组。劳累、情绪激动A组少于B组,睡眠及诱因不明确者两组间差异无显著性。A组无典型胸痛者较B组多,两组差异有显著性,且发生心力衰竭、心源性休克、室速、室颤、Ⅱ°Ⅱ型或Ⅲ°房室传导阻滞等并发症明显高于B组。梗死部位两组差异无显著性。两组患者在AMI后2～4周内血压下降发生率、收缩压下降值间差别有显著性意义,舒张压下降值间差别无显著性意义。A组AMI后血压下降的发生率及SBP下降值均高于B组。结论有高血压病史或入院时有高血压的AMI患者具有更多的危险因素,前壁梗死比例高、多壁梗死和溶栓比。
Objective To analyze the effect of hypertension on patients with acute myocardial infarction. Methods Patients were divided into two groups according to whether there was a history of hypertension before hospitalization and whether there was hypertension on admission: 145 patients in group A had no history of hypertension and had a blood pressure of 140 / 90mmHg on admission; 62 patients in group B had no history of hypertension, 140 / 90mmHg. Results A group of patients with coronary heart disease risk factors and the history of the proportion were significantly higher than the B group. The proportion of AMI induced by meal in group A was higher than that in group B. Tired, emotional excitement A group less than the B group, sleep and incentives are not clear between the two groups no significant difference. A group of patients with typical chest pain than the B group, the difference between the two groups was significant, and the occurrence of heart failure, cardiogenic shock, ventricular fibrillation, Ⅱ ° Ⅱ or Ⅲ ° atrioventricular block and other complications were significantly Higher than the B group. No significant difference between the two groups of infarction. Two groups of patients within 2 to 4 weeks after AMI the incidence of decreased blood pressure, systolic blood pressure decreased the difference was significant, no significant difference between the fall of diastolic blood pressure. A group of AMI after the decline in the incidence of blood pressure and decreased SBP were higher than the B group. Conclusions Patients with AMI who have a history of hypertension or who have hypertension at admission have more risk factors, a high proportion of anterior wall infarcts, multiple wall infarcts, and thrombolysis.