不同年龄组维吾尔族与汉族冠心病患者的危险因素与冠状动脉病变特征分析  

The clinical study of risk factors and coronary artery lesions between Han and Uygur nationality patients with coronary artery disease in different age group

作　　者：罗仁[1] 茶春喜[1] 梁金排[2] 

机构地区：[1]石河子大学第四附属医院心血管病科一病区,新疆阿克苏843000 [2]石河子大学医学院

出　　处：《重庆医学》2014年第4期445-447,450,共4页Chongqing medicine

摘　　要：目的探讨不同年龄组维吾尔族和汉族冠心病(CHD)住院患者的危险因素与冠状动脉病变特点的差异。方法回顾性分析2 008例行冠状动脉造影(CAG)确诊CHD的患者资料。冠状动脉病变程度用支数及病变Gensini总积分表示。结果两民族50岁以下年龄段患者危险因素主要以吸烟、饮酒和血脂异常为主,而大于或等于50岁年龄段患者危险因素主要以高血压和糖尿病为主。随着年龄增长,两民族患者高血压和糖尿病发生率呈递增趋势,而吸烟、饮酒和血脂异常发生率呈递减趋势。维吾尔族患者三支病变发生率(40.6%)高于汉族患者(35.3%),差异有统计学意义(P<0.05)。相同年龄段,维吾尔族患者Gensini总积分均高于汉族患者,差异有统计学意义(P<0.05)。各积分段比较,维吾尔族组平均年龄均低于汉族组。结论维吾尔族冠心病患者三支病变发生率高,冠状动脉病变严重程度均较汉族相同年龄段重,且同样程度的冠状动脉粥样硬化病变发病年龄比汉族患者早。Objective To study difference of coronary artery lesion between Han nationality and Uygur nationality patients with coronary artery disease .Methods 2008 patients with coronary artery disease were analyzed retrospectively in our hospital .The cor-onary artery lesion was evaluated by the number ,location ,type of coronary lesion and Gensini scores .Results The incidences of three-vessel disease in Uygur patients （40 .6% ） were higher than that of Han patients （35 .3% ） .Along with the age increasing , Gensini scores increased gradually .Gensini scores of uygur patients were significantly higher than those of Han patients in same age groups .Compared with the Han patients ,mean age in the Uygur patients was lower（P〈0 .05） .Conclusion Severity of coronary artery disease increased with age ,single-vessel lesion gradually reduced and three-vessel lesion gradually increased .The coronary artery lesions of Uygur patients were more severe than those of Han patients in same age ：more three-branch lesion .Compared with Han patients ,morbidity age of similarly degree coronary atherosclerosis in the Uygur patients maybe more early .

关 键 词：人种群 冠状动脉造影术 冠状动脉病变 年龄 

分 类 号：R541.4[医药卫生—心血管疾病]