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目的探讨男性青年精神病合并急性心肌梗死(AMI)的病因与临床特点,为防治提供科学依据。方法选取2014年3月-2016年3月确诊为AMI的45岁以下的男性精神病患者40例(青年组)和60岁以上的老年男性精神病AMI患者(老年组),对比分析2组患者的临床资料。结果 2组患者在肥胖、高血脂和典型胸痛方面差异无统计学意义(P>0.05),而在吸烟、饮酒、糖尿病、高血压、心力衰竭以及冠心病家族史方面差异有统计学意义(P<0.05)。结论男性青年精神病合并AMI患者,存在吸烟、饮酒及遗传等危险因素影响,高血压、糖尿病及心功能不全等合并症很少。
Objective To investigate the etiology and clinical features of male youth mental illness complicated with acute myocardial infarction (AMI) and to provide a scientific basis for prevention and treatment. Methods Forty male psychiatric patients aged below 45 years old (youth group) and elderly male psychotic AMI patients aged 60 years and older (elderly group) diagnosed with AMI from March 2014 to March 2016 were selected. The clinical data of two groups were compared data. Results There were no significant differences in obesity, hyperlipidemia and typical chest pain between the two groups (P> 0.05), but there were significant differences in smoking, drinking, diabetes, hypertension, heart failure and family history of coronary heart disease (P <0.05). Conclusion Male psychiatric patients with AMI have smoking, drinking and genetic risk factors. There are few complications such as hypertension, diabetes and cardiac insufficiency.