不同类型急性冠脉综合征心电图改变及其与临床相关因素的研究-内科学专业论文.docxVIP

PAGE PAGE 5 0.368）、狭窄程度(r=0.306、0.313)呈正相关（P＜0.05）。③STEMI ST 段抬 高的程度与冠脉病变支数（r=0.287）、狭窄程度(r=0.360)呈正相关（P＜0.05）； 而 STEMI ST 段抬高的导联数与冠脉病变支数（r=-0.004）、狭窄程度(r=0.145) 不存在明显的相关性（P＞0.05）。④三组患者的年龄、高血压、血脂异常、 吸烟史差异无统计学意义（P＞0.05）；NSTEMI 组糖尿病高于 STEMIZ 组和 UAP 组，差异有统计学意义（P＜0.05）；STEMI 组男性明显高于 NSTEMI 组和 UAP 组，差异有统计学意义（P＜0.01）。 结论： NSTEMI ST 段压低的导联数越多、振幅越高其发生冠脉多支病 变的概率越大，狭窄程度也越重；STEMI ST 段抬高的振幅越高其发生冠脉 多支病变的概率越大，狭窄程度也越重；NSTEMI 患者中冠脉多支病变、糖 尿病较 STEMI 和 UAP 患者多见。 关键词：急性冠脉综合征；相关危险因素；冠脉造影；心电图 The Relationship between electocardiographic changes with different types of acute coronary syndrome and clinical risk factors ABSTRACT Objective: To study the ST-T changes in different types of ACS patients and the relationship with Coronary angiography；To study the different types of acute coronary syndrome (ACS) patients age,sex,hypertension,diabetes ， dyslipidemia and Smoking histories between its relationship and clinical significance. Methods: To select two hundred and seventy-four patients with acute coronary syndrome, which were hospitalized in department of Cardiology, Affiliated Hospital of Guilin Medical University between October 2011 and june 2012. They were somatotyped according to standard for ACC/AHA 2005, which were measured age and sex,hypertension,diabetes,dyslipidemia,smoking history,ST-segment elevation,ST-segment depressed of guide group number,amplitude and coronary angiography with involving the lesions count,coronary artery stenosis of correlation. According to the ACS somatotype which are divided into three groups for unstable angina pectoris (UAP),non ST-elevation myocardial infarction (NSTEMI) and ST-elevation myocardial infarction (STEMI)；Compare with the relationships during three groups in age,sex,hypertension,diabetes,dyslipidemia,smoking history. According to the PAGE PAGE 10 ST-segment elevation of guide group number and amplitude, Compared with STEMI ST-segment elevation of guide group number and amplitude between the Coronary angi