中国人与澳大利亚人冠状动脉造影三支血管病变及完全闭塞病变比较  

Comparison of Differences in Three Branch Lesion and Complete Occlusion Lesion in Angiography Between Chinese and Australian

作　　者：林欣[1] 江时森[1] 徐东进[1] 

机构地区：[1]南京军区南京总医院心内科,江苏省南京市210002

出　　处：《中国动脉硬化杂志》2009年第1期56-58,共3页Chinese Journal of Arteriosclerosis

基　　金：全军"十五"卫生科研基金资助项目(01MB022)

摘　　要：目的探讨中国人与澳大利亚人冠状动脉造影三支血管病变及完全闭塞病变规律差异。方法中国南京入选冠心病患者3 021例(男性2 067例,68.42%),澳大利亚悉尼入选冠心病患者3 230例(男性2 195例,67.9%),分别进行冠状动脉造影及定量冠状动脉造影分析。结果(1)澳大利亚人组三支血管病变、完全闭塞病变及总的Gensini积分均显著高于中国人组(P<0.01);(2)中国人组男性三支血管病变、完全闭塞病变率及总的Gensi-ni积分均显著高于女性患者,澳大利亚人组男性三支血管病变、完全闭塞病变率及总的Gensini积分均显著高于女性患者(P<0.01);(3)澳大利亚人组男性及女性三支血管病变、完全闭塞病变率及总的Gensini积分,均分别显著高于中国人同性别组(P<0.01)。结论澳大利亚人组三支血管病变及完全闭塞病变率较中国人高;两组男性三支血管病变及完全闭塞病变率均比女性高;澳大利亚人组男性及女性的三支血管病变及完全闭塞病变率均比中国人组同性别患者高。Aim To study the difference of three branch lesion and complete occlusion lesion in angiography between Chinese and Australian. Methods Total of 3 021 patients suspected with coronary artery disease from Nanjing and 3 230 patients from Australia were adopted for quantitative coronary angiography. The coronary lesion was evaluated by the location of the lesion, and Gensini score. Results （ 1 ） three branch lesion, complete occlusion lesion and Gensini scores of Australian were higher than those of Chinese （ P 〈 0.01 ） ; （ 2 ） three branch lesion, complete occlusion lesion and Gensini scores of Chinese males were higher than those of females, three branch lesion, complete occlusion lesion and Gensini scores of Australian males were higher than those of females （ P 〈 0.01 ） ; （ 3 ） three branch lesion,complete occlusion lesion and Gensini scores of Australian males were higher than those of Chinese males; three branch lesion,complete occlusion lesion and Gensini scores of Australian females were higher than those of Chinese females（ P 〈0.01 ）. Conclusions Coronary artery lesion of Australian patients were more severe than those of Chinese ; Three branch lesion, complete occlusion lesion and Gensini scores of Australian and Chinese males were higher than those of Australian and Chinese females;Three branch lesion, complete occlusion lesion and Gensini scores of Australian males were more severe than those of Chinese males and three branch lesion, complete occlusion lesion and Gensini scores of Australian females were al- so more severe than those of Chinese females.

关 键 词：冠心病 三支血管病变 完全闭塞病变 冠状动脉造影 中国 澳大利亚 

分 类 号：R5[医药卫生—内科学]