摘要
目的 探讨冠状动脉粥样硬化性心脏病患者的临床特征以及相关危险因素.方法 选取2011年1月至2013年1月我院心脏科冠状动脉粥样硬化性心脏病患者72例作为研究对象,收集所有患者的一般性资料,并统计患者的明显临床症状,分析治疗周期结束后患者的治疗效果和影响预后的因素.结果 冠状动脉粥样硬化性心脏病患者在临床中极易出现心绞痛、心肌梗死、心脏扩大、心律失常等临床症状.单因素分析显示,影响患者预后的因素包括肥胖、高血糖、高血脂、高血压、吸烟和高尿酸血症;多元Logistic 回归分析显示,影响预后的危险因素由大到小分别是：肥胖（OR =2.561）、高血压（OR =2.023）、高血脂（OR=1.347）和高血糖（OR=1.248）.结论 冠状动脉粥样硬化性心脏病患者临床症状常表现为高血压、心绞痛、心肌梗死等症状,而肥胖、高血糖、高血脂、高血压、吸烟和高尿酸血症与冠状动脉粥样硬化性心脏病密切相关,在临床中应及早干预,以提高冠状动脉粥样硬化性心脏病的临床治疗效果,改善患者的预后.
Objective To analyze clinical features and its influence factors of the coronary atherosclerotic heart disease. Methods 72 cases coronary atherosclerotic heart disease treated in the cardiology department of our hospital from January 2011 to January 2013 were selected as the observation objects. The clinical symptoms and drug therapy of all patients were analyzed, the patient＇s therapeutic effect and the influence factors of prognosis were analyzed. Results The clinical symptoms of the coronary atherosclerotic heart disease included angina pec- toffs, myocardial infarction, cardiomegaly and cardiac arrhythmias. The single factor analysis showed that factors include obesity, blood sugar, blood fat, blood pressure, smoking and high blood uric acid. Multivariate Logistic regression analysis for risk factors affected the prognosis from big to small： obesity （0R=2.561）, high blood pres- sure（OR=2.023）, blood lipid（OR=1.347） and blood sugar（OR=1.248）, respectively. Conclusion The clinical symptoms of the coronary atherosclerotic heart disease included hypertension, angina pectoris, myocardial infarction. The obesity, blood glucose, blood lipids, blood pressure, smoking and high blood uric acid are closely related with the coronary atherosclerotic heart disease. In clinical, we should give early intervention and improve the coronary atherosclerosis sex heart disease clinical treatment effect, and then improve the prognosis of patients.
出处
《中国心血管病研究》
CAS
2015年第4期343-345,共3页
Chinese Journal of Cardiovascular Research
关键词
冠状动脉疾病
临床特征
相关因素
Coronary heart disease
Clinical features
Influence factors
