安徽阜阳农村冠心病患者危险因素分析  

Analysis of the risk factors in patients with coronary heart disease in Fuyang rural areas

作　　者：刘伟[1] 李文俊[1] 宁彬[1] 

机构地区：[1]阜阳市人民医院心内科,236003

出　　处：《安徽医学》2011年第9期1316-1319,共4页Anhui Medical Journal

摘　　要：目的评价阜阳农村冠心病患者相关危险因素并探讨其与三支病变的关系。方法选择拟诊冠心病患者612例,经冠脉造影检查确诊冠心病300例,余作为非冠心病组,采用Logistic回归分析冠心病组及其亚组三支病变组相关危险因素。结果冠心病组与非冠心病组比较,年龄、性别、吸烟、高血压病、糖尿病、血清总胆固醇、三酰甘油、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇存在明显差异。三支病变与非三支病变组比较,糖尿病、年龄、血清总胆固醇、三酰甘油、低密度脂蛋白胆固醇及脂蛋白(a)存在明显差异。Logistic回归分析显示糖尿病是冠心病最显著的独立危险因素,脂蛋白(a)为冠脉三支病变的独立危险因素。结论农村冠心病患者中糖尿病为最重要的危险因素。Objective To assess the relevant risk factors of rural patients with coronary heart disease（CAD） in Fuyang and investigate the association with the triple vessel disease.Methods Six hundred and twelve patients suspected CAD were recruited in the study.All the patients underwent selective coronary angiography（CAG）.Three hundred patients of them were diagnosed CAD,and others composed no-CAD group.Risk factors of CAD were assessed by binary logistic regression analysis.Results Compared with non-CAD group,CAD patients were significantly associated with age,male,smoking,hypertension,type 2 diabetes mellitus（T2DM）,serum total cholesterol（TC）,triglycerides（TG）,low density lipoprotein cholesterol（LDL-C）,and high density lipoprotein cholesterol（HDL-C）.There were significant diference between triple-vessel CAD and non-triple-vessel CAD,about which is diabetes,age,TC,TG,LDL-C and lipoprotein（a）（LP（a））.Logistic regression analysis showed that T2DM was the most significant independent CAD risk factor and LP（a） was an independent risk factor of triple-vessel CAD.Conclusion T2DM is the most important risk factor in patients with CAD in Fuyang rural areas.

关 键 词：冠状动脉疾病 冠状动脉血管造影术 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]