【摘要】 目的了解临沂地区农村AMI患者的临床特点,为其诊治及风险评估提供证据。方法回顾性收集临沂地区农村2013年至2017年在本院住院的AMI患者临床资料,分析其变化趋势。结果患者的年龄逐渐增大;NSTEMI的比例显著上升;KillipⅢ-Ⅳ级患者的比例以及AMI合并脑梗死、高血压、糖尿病、心律失常、既往心肌梗死的患者比例均逐渐升高;短期病死率存在上升趋势;接受PCI的比例以及应用阿司匹林、氯吡格雷、低分子肝素的患者比例逐渐降低。多因素分析证实:NSTEMI是影响患者短期死亡的独立危险因素。结论农村AMI患者近年来合并症逐渐增多,短期病死率尤其是NSTEMI逐渐上升,应重点关注。更多还原

【Abstract】 Objective To understand the clinical characteristics of rural AMI patients in Linyi area and provide evidence for their diagnosis, treatment, and risk assessment. Methods Retrospectively collect clinical data of AMI patients hospitalized in our hospital from 2013 to 2017 in rural Linyi area, and analyzed their changing trends. Results The age of patients gradually increased. The proportion of NSTEMI increased significantly. The proportion of Killip Ⅲ-Ⅳ patients and the proportion of AMI patients with cerebral infarction, hypertension, diabetes, arrhythmia, and previous myocardial infarction gradually increased. For short-term fatality rate, there is an upward trend. The proportion of patients receiving PCI and the proportion of patients using aspirin, clopidogrel, and low-molecular-weight heparin are gradually decreasing. Multivariate analysis confirmed that NSTEMI is an independent risk factor affecting short-term death of patients. Conclusion In recent years, AMI patients in rural areas have gradually increased their comorbidities, and the short-term mortality rate, especially NSTEMI, has gradually increased, which should be paid attention to.更多还原