不同年龄冠心病患者临床特点与冠状动脉造影特点的临床分析  

Analysis of the Clinical Characteristics and the Results of Coronary Angiography of Patients with Coronary Heart Disease in Two Different Age Groups

作　　者：谢威[1] 秦媛怡[1] 赵旦[1] 蔡名金[1] 陈晞明[1] 

机构地区：[1]广州医学院第三附属医院,广东广州510150

出　　处：《河北医学》2010年第6期657-660,共4页Hebei Medicine

摘　　要：目的:探讨不同年龄组冠心病(coronary heart disease,CHD)患者的临床及冠状动脉造影(CAG)特点。方法:将240例CHD患者,根据年龄分为中青年组(年龄<60岁,n=80)、老年组(年龄≥60岁,n=160),对两组患者一般资料、血生化指标及CAG结果进行分析,并经统计学处理。结果:中青年组高血压并发率低于老年组(P<0.05)。中青年组以单支病变为主,而老年组以多支病变较多(P<0.05),老年组右冠状动脉病变高于中青年组(P<0.05),老年组弥漫长病变多于中青年组(P<0.05)。结论:不同年龄组CHD有不同的临床和CAG特点,不同年龄人群应采取有针对性的CHD防治措施。Objective：To investigate the clinical characteristics and the results of coronary angiography in different age groups of patients with coronary heart disease （CHD）.Method：240 cases of CHD patients were divided into middle-aged group （age 60 years old,n=80）,old-aged group （age ≥ 60 years old,n=1600） according to the age.Their clinical data,biochemical indicators and results of CAG were compared and analyzed statistically.Result：There were less patients with hypertension in the middle-aged group than in the old-aged group（P 0.05）.More single-vessel lesion happend in the middle-aged,and multiple vessel diseases occurred more frequently in the old-aged（P0.05）.Right coronary artery lesions were more frequently observed in the old-aged than the middle-aged（P0.05）.There were more diffuse lesions in the old-aged group than in the middle-aged group（P0.05）.Conclusion：CHD in different age groups have different characteristics in clinical and CAG.People in different age groups should prevent different things.

关 键 词：冠状动脉疾病 冠状动脉造影 老年人 中青年 

分 类 号：R541.4[医药卫生—心血管疾病]