急性心肌梗死及气象因子关系初析.doc

急性心肌梗死及气象因子关系初析[摘要] 目的 分析气象因子与急性心肌梗死发病的关系。 方法 利用2001年1月1日～2010年12月31日10年内在青田县人民医院住院治疗的急性心肌梗死疾病病例，并搜集同期青田县气象观测站的相关气象资料，进行对比分析。 结果 急性心肌梗死的发病与气温、水汽压呈反相关，与气压呈正相关；秋、冬季是急性心肌梗死的高发季节，气温剧降或持续低温天气急性心肌梗死患者明显增加。 结论 气象因子是引起急性心肌梗死发病的重要因素之一，对于防治急性心肌梗死具有重要意义。 [关键词] 急性心肌梗死；多元逐步回归；气象因子；影响分析 [中图分类号] R54 [文献标识码] C [文章编号] 1674-4721（2012）07（a）-0189-03 Preliminary analysis on acute myocardial infarction and meteorological factors CHEN Huifen1 LIU Sujuan2 1.Meteorology Bureau of Qingtian County in Zhejiang Province, Qingtian 323900, China; 2.Meteorology Bureau of Jinyun County in Zhejiang Province, Jinyun 321400, China [Abstract] Objective To analyze the relationship between the meteorological factors and the occurrence of acute myocardial infarction. Methods To make a comparative analysis with the disease cases of acute myocardial infarction admitted to Qingtian People’s Hospital from January 1. 2001 to December 31. 2010, and the relative meteorological documents collected by Qingtian meteorological observation station. Results A negative relationship was observed between the acute myocardial infarction and the temperature, vapor pressure; a positive relationship was observed between the acute myocardial infarction and the atmospheric pressure; the peak occurrence seasons found in the Autumn and Winter; obvious increase of the number of acute myocardial infarction patients was observed when the temperature decreased suddenly or the low temperature weather lasted. Conclusion Meteorological factors is one of the important causes which may generate acute myocardial infarction, it has significance for prevention and control myocardial infarction. [Key words] Acute myocardial infarction; Multiple stepwise regression; Meteorological factors; Influence analysis 急性心肌梗死是在冠状动脉病变的基础上，发生冠状动脉血供急剧减少或中断，使相应的心肌严重而持久的急性缺血从而导致心肌坏死的一种疾病。发病原因、机理可能与神经及内分泌有关，同时与纤溶系统活性抗凝血酶、血小板聚集性和血粘度有关[1-2]。该病发病急，如不及时救治， 死亡率甚高。诱发急性心肌梗死的因素很多，如过度劳累、情绪激动、暴饮暴食、寒冷刺激等均可能导致发病。气象条件与心肌梗死发病有着一定的关系，随着经济社会的发展，生活水平的提高，气象条件对人