發(fā)布時(shí)間：2018-03-24 04:34

  本文選題：急性心肌梗　切入點(diǎn)：頻發(fā)日　出處：《新疆醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討烏魯木齊地區(qū)氣象因素與急性心肌梗死(AMI)發(fā)病的關(guān)系,以及與人口學(xué)因素、傳統(tǒng)AMI危險(xiǎn)因素在急性心肌梗死發(fā)病中的作用關(guān)系;烏魯木齊地區(qū)AMI發(fā)病季節(jié)及月分布規(guī)律。方法:本研究共納入2224名因AMI入院患者(男性1771名,女性453名,平均年齡60.76±12.89歲)。AMI頻發(fā)日定義為當(dāng)天AMI發(fā)病例數(shù)≥3,而當(dāng)天發(fā)病例數(shù)2定義為非頻發(fā)日。運(yùn)用logistics多因素回歸模型分析氣象因素與AMI頻發(fā)的關(guān)系。對比AMI頻發(fā)日與非頻發(fā)日,不同人口學(xué)因素及AMI傳統(tǒng)危險(xiǎn)因素間平均氣溫、最高氣溫、最低氣溫、氣溫日較差、相對濕度、降雨量、大氣壓、日照時(shí)間、風(fēng)速等氣象因素。本研究納入AMI頻發(fā)當(dāng)日,發(fā)病前一日,發(fā)病前兩日氣象數(shù)據(jù)。分析AMI發(fā)病例數(shù)季節(jié)及月分布規(guī)律。結(jié)果:研究期間AMI頻發(fā)天數(shù)為239天(13.1%),非頻發(fā)天數(shù)為1587天(86.9%)。Logistics多因素回歸模型分析中AMI頻發(fā)日前48小時(shí)內(nèi)氣溫變化,前2日、前1日平均氣溫為AMI頻發(fā)獨(dú)立危險(xiǎn)因素。春季、秋季較夏季、冬季AMI高發(fā),3月較其余月份AMI高發(fā)。氣象因素在男性及高血壓患者中,對AMI頻發(fā)影響較為顯著。結(jié)論:AMI頻發(fā)日前短期氣溫變化與AMI頻發(fā)相關(guān)。春季、秋季較夏季、冬季AMI高發(fā),3月較其余月份AMI高發(fā)。
[Abstract]:Objective: to investigate the relationship between meteorological factors and acute myocardial infarction (AMI) in Urumqi, as well as the role of demographic factors and traditional AMI risk factors in the pathogenesis of acute myocardial infarction (AMI). Methods: a total of 2224 AMI patients (1771 males and 453 females) were enrolled in this study. The mean age of 60.76 鹵12.89 years old and the frequency of AMI were defined as the number of AMI cases 鈮，

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