摘要
目的探讨老年冠心病患者的危险因素,冠状动脉病变特点与中青年的区别。方法对34例住院的老年(年龄≥65岁)、27例中青年(年龄<65岁)冠心病患者的临床和冠状动脉造影资料进行回顾性的分析和比较。结果老年冠心病患者高血压、糖尿病、空腹血糖明显高于中青年患者(P<0.05);冠状动脉造影阳性率明显高于中青年组(P<0.05);双支、多支病变明是显高于中青年组(P<0.05);中重度病变明显高于中青年组(P<0.05);但吸烟、饮酒、甘油三脂(TG)、高密度脂蛋白胆固醇(HDL-C)、体重指数(BMI)显著低于中青年患者(P<0.05)。结论高血压、糖尿病、空腹血糖异常是老年冠心病患者的危险因素;老年冠心病患者的冠脉病变以双支、多支、中重度病变多见。
Objective To discuss the distinction of the risk factors and characteristics between gerontal patients with coronary artery disease （CAD） and middle-aged patients with CAD. Methods The clinical and coronary angiography data of 34 gerontal CAD patients and 27 middle-aged CAD patients were collected, analyzed and compared. Results The rates of hypertension, diabetes and abnormal fasting blood glucose, the positive rate of coronary angiography, the coronary artery double-branch and more-branch disease, and medium and severe diseases were significantly higher in gerontal CAD patients than those in middle-aged CADpatients （all P〈0.05）. However, smoking, drinking, triglyceride （TG）, high density lipoprotein cholesterol （HDL-C）, and body mass index （BMI） were significantly lower in gerontal CAD patients than those in middle-aged CAD patients （all P 〈 0.05）. Conclusions Hypertension, diabetes and abnormal fasting blood glucose are the risk factors of gerontal CAD. Coronary artery doublebranch, more-branch disease and severe disease are seen frequently in gerontal CAD patients.
出处
《中国校医》
2007年第6期687-689,共3页
Chinese Journal of School Doctor
关键词
冠心病
危险因素
冠状动脉造影
Coronary Disease
Risk Factor
Coronary Angiography
