Objective To invesligale the characlerislics of the incidence of acule myocardial infarclion(AMI) and the major risk factors for palienls wilh AMI in a community of Shanghai, of which the dala will offer us the references for the nexl prevenlion and conlrol work of AMI. Methods We called up the whole dala of palienls wilh AMI in recenl 5 years from the database for AMI in our community hospital, and excluded the cases wilh wrong or incomplete dala. The dala included were analysed wilh Excel 2000. Results The incidence of AMI in men was higher than that in women, and so was the age. AMI occurred more frequently when season changed, especially in winter, autumn and spring. The peak age of incidence of AMI is between 60 and 90. Hypertension and diabetes were important risk factors for AMI. Education is inversely related to AMI. Conclusion Men are the focus group of the prevenlion and conlrol work. The conlrol work should be more intensively when temperature changes suddenly. Sixty to ninly is the important age for the prevenlion, and it seems prevenlion should be conducted earlier. Controlling diabetes is more important than hypertension for AMI. Humane care should be regarded seriously in the rehabilitation of AMI.%目的 调查上海市某社区急性心梗患者的发病特点和主要危险因素,为社区开展防治工作提供数据.方法 从某社区急性心梗患者资料库中调出近5年急性心梗患者的全部资料,剔除数据错误和数据不全的病例,所得数据用Excel 2000软件进行统计分析.结果 (1)男性发病比例明显高于女性,且发病年龄早于女性;(2)秋冬春季节变化时节是急性心梗的高发季节;(3)61~90岁是急性心梗发病的高峰年龄段;(4)高血压和糖尿病是急性心梗的重要危险因素;(5)文化程度与急性心梗的发生呈负相关关系.结论 (1)男性是心梗防治的重点人群;(2)气温骤变时是心梗防治的关键时期;(3)60~90岁是预防心梗发生的关键年龄段,且有前移趋势;(4)预防心肌梗死,防治糖尿病比防治高血压更重要;(5)人文关怀在心梗患者的康复中作用非常重要.
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