女性冠心病临床特点及冠状动脉造影分析  

A STUDY ON THE CLINICAL AND CORONARY ARTERIOGRAPHIC CHARACTERISTICS IN THE FEMALE PATIENTS WITH CORONARY HEART DISEASE

作　　者：于赛华[1] 王悦喜[1] 于金华[1] 季英敏[1] 

机构地区：[1]内蒙古医学院附属医院心内科,内蒙古呼和浩特010050

出　　处：《内蒙古医学院学报》2009年第2期127-129,共3页Acta Academiae Medicinae Neimongol

基　　金：内蒙古自治区自然科学基金项目(20048020930)

摘　　要：目的:探讨女性冠心病临床及冠状动脉造影的特点。方法:选择76例在我院经冠状动脉造影确诊、临床资料及心电图完整的女性冠心病病人为研究组,及同期在我院经冠状动脉造影确诊的110例男性冠心病病人为对照组。分别对其临床特点及冠状动脉病变的支数、部位、狭窄的程度进行比较。结果:与男性相比女性年龄≥55岁者多,住院天数长,典型心绞痛及缺血心电图较男性少,糖尿病、心力衰竭明显高于男性,而家族史及血脂紊乱两组无差异。女性病人冠状动脉单支病变明显低于男性,多支病变高于男性组,受累血管以左前降支最为多见。女性病人冠状动脉中、重度狭窄高于男性。结论:女性病人发病年龄晚,临床症状不典型,并发症多,冠状动脉病变重,临床易误诊、漏诊。Objective： To study the clinical and coronary arteriographic characteristics in the female patients with coronary heart disease. Methods： Retrospective analysis was performed on 186 patients（ ≥ 60 years）with coronary heart disease. The patients were divided into 2 groups：the female group（ n = 76 ） and male group （ n = 110）, comparing their clinical characteristics, coronary arteriographic characteristics and so on. Results：Compared with male patients, female patients were averagely older, the number of diabetes and cardiac dysfunction was larger. In female group, clinical characteristics of chest pain was atypical and ST - T changes in electrocardiogram were not obvious. Coronary lesions were serious. More vessel lesions were found in female patients than those in male patients, while single - vessel lesions were less found in female patients. In coronary arterionstenosis, the moderate and severe degree in female patients were higher than those in male patients. Conclusion：The clinical charateristics were atypical in female patients. Coronary lesions in female patients were likely to severer than those in male patients.

关 键 词：老年女性 冠心病 临床特点 冠状动脉造影 

分 类 号：R541.4[医药卫生—心血管疾病]