摘要
目的探讨早发冠心病临床危险因素分析及其与预后的相关性。方法随机抽取本院2017年1月至2018年2月期间诊疗的早发冠心病患者50例,将其纳入早发组;同期抽取50例非早发性冠心病患者,纳入对照组,对两组患者冠心病危险因素、预后相关性予以评价。结果早发组患者高血压发生率低于对照组,但吸烟史、饮酒史和遗传史等比例高于对照组,即两组患者各数据间比较存在统计学意义(P<0.05);两组患者高血脂危险因素比较,不存在统计学意义(P>0.05)。早发组患者TC、TG、纤维蛋白原和血红蛋白等水平显著高于对照组,即两组患者各数据间比较存在统计学意义(P<0.05);但两组患者HDL-C、LDL-C、尿酸等指标水平相似,不存在统计学意义(P>0.05)。结论早期冠心病和吸烟、饮酒与遗传史等危险因素存在关联,融合有效的综合干预措施,能够在预防危险因素的同时,提高患者预后效果,达到通脉止痛和行气活血的效果,值得推广。
Objective： To investigate the clinical risk factors of premature coronary heart disease（ CHD） and its correlation with prognosis. Methods： 50 patients with early onset coronary heart disease from January 2017 to February 2018 were randomly selected and included in the early onset group; 50 cases of non early onset coronary heart disease were selected at the same time and included in the control group. The risk factors of coronary heart disease and the correlation of prognosis were evaluated in the two groups. Results： The incidence of hypertension in the early onset group was lower than that of the control group,but the proportion of smoking history,drinking history and genetic history was higher than that of the control group,that is,there was a statistical significance between the two groups（ P〈 0. 05）; the two groups of hyperlipidemia risk factors were not statistically significant（ P〉 0. 05）. The levels of TC,TG,fibrinogen and hemoglobin in the early onset group were significantly higher than those in the control group. That is,there were statistical significance between the two groups（ P〈 0. 05）,but the levels of HDL-C,LDL-C and uric acid were similar in the two groups,and there was no statistical significance（ P〉 0. 05）. Conclusion： Early coronary heart disease is associated with risk factors such as smoking,drinking and genetic history. The combination of effective and comprehensive intervention can improve the prognosis of patients while preventing the risk factors,and achieve the effect of Tongmai analgesic and qi activating blood circulation. It is worth popularizing.
作者
沈晖
宣玲
SHEN Hui;XUAN Ling(Dept.of diagnostics,Bengbu Medical College,Bengbu 233000,China;Dept.of Cardiology,the First Affiliated Hospital of Bengbu Medical College,Bengbu 233000,China)
出处
《泰山医学院学报》
CAS
2018年第10期1107-1108,共2页
Journal of Taishan Medical College
基金
课题名称:早发冠心病临床特点分析与干预管理对临床预后的影响(编号:BYKF1757)
关键词
早发冠心病
危险因素
预后相关性
early onset coronary heart disease
risk faetors
prognostic relevance
