早发冠心病冠脉病变及危险因素临床分析  

Features of Coronary Lesions and Cardiovascular Risk Factors with Premature Coronary Artery Disease

作　　者：汤凤英[1] 冯燕娴[1] 桑更生[1] 石增刚[1] 竟雪莹[1] 

机构地区：[1]安徽省蚌埠市第三人民医院心内科,233000

出　　处：《中华全科医学》2010年第4期434-435,共2页Chinese Journal of General Practice

摘　　要：目的探讨早发冠心病患者冠状动脉病变及相关心血管危险因素。方法56例冠心病的患者,按年龄分为早发组27例(男性<55岁,女性<65岁)和晚发组29例,统计各组患者危险因素情况、颈动脉内膜中层厚度及冠状动脉病变特点并进行分析。结果早发冠心病组缺血性心血管病家族史、吸烟、体重指数、Fig、血浆TG水平显著高于晚发冠心病组(P<0.05);早发冠心病患者在单支血管病变所占比例显著高于晚发冠心病组(P<0.05)。结论预防冠心病应从尽早积极控制心血管病危险因素开始,要积极进行治疗性生活方式改变,包括戒烟、控制体重、调整营养。Objective To explore the features of coronary lesions and cardiovascular risk factors in patients with premature coronary artery disease（CAD）.Methods 56 CAD patients were divided into two groups based on the age（male〈55 years,female〈65 years）,the premature group and delayed group.The intima media thickness（IMT）,features of coronary lesions and risk factors of CAD were counted and analyzed.Results The risk factors,including levels of triglyeeride（TG）,hypertriglyceridemia,smoking,fatness and plasma fibrinogen,in premature CAD were different from the delayed group（P〈0.05）.The single vessel CAD were more frequently found in premature CAD（P〈0.05）.Conclusion The early control of cardiovascular risk factors and active adopting therapeutic lifestyle can prevent CAD.

关 键 词：早发冠心病 冠状动脉病变 颈动脉硬化 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]