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男女急性心肌梗塞患者静脉溶栓疗效临床对比观察

Observations of Different Clinical Efficacy with Intravenous Thrombolytic Therapy Between Women and Men After Acute Myocardial Infarction

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【作者】 黎明； 张瑞宏； 刘丽红；

【Author】 Li Ming,Zhang Rihong,Liu Lihong

【机构】 深圳市龙岗区人民医院； 哈尔滨医科大学第一临床医学院； 深圳市龙岗区人民医院 518172； 150001； 518172；

【摘要】 目的探讨静脉溶栓对男女急性心肌梗塞患者的疗效对比。方法对住院的256例急性心肌梗塞患者行静脉溶栓治疗,男性186例,女性70例。2组均采用尿激酶150万单位进行溶栓。结果女性溶栓年龄高于男性(P<0.05),易患因素如高血压、糖尿病、高血脂等病,女性多于男性(P<0.05),女性再通率低于男性(P<0.05),女性死亡率高于男性(P<0.05)。结论急性心肌梗塞溶栓疗效女性不如男性。

【Abstract】 OBJECTIVE To observe the different efficacy with intravenous thrombolytic therapy between women and men after acute myocardical infarction.METHODS 256 patients were divided into two groups(men 186 and women 70) and treated with Urokinase (UK) therapy.RESULTS Women thrombolytic ages are older than that of men (P<0.05);women easy affected factors such as hypertension,diabetes are more than that of men (P<0.05);the repercussion rates of infarcted related arteries in women are lower than that of men (P<0.05);the mortality of women are higher than that of men (P<0.05).CONCLUSION The clinical efficacy with thrombolytic therapy of women is worse than that of men.

【关键词】 急性心肌梗塞； 静脉溶栓； 疗效；
【Key words】 acute myocardical infarction； intravenous thrombolytic therapy；