男性吸烟与不吸烟者平板运动试验结果的比较  

Comparison of treadmill exercise test results in male smokers and non-smokers

作　　者：周蓉[1] 彭钰[1] 张苏明[1] 

机构地区：[1]南京大学医学院附属鼓楼医院心功能室,江苏南京210008

出　　处：《心血管康复医学杂志》2015年第3期258-260,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:观察男性吸烟与不吸烟者平板运动试验结果的差异。方法:在门诊患者中筛选出长期每日吸烟20支以上的男性200例作为吸烟组,另选出完全不吸烟,年龄相似的男性200例作为对照组。两组均否认高血压、高血脂、糖尿病病史,心电图检查阴性,心脏彩超检查排除左心室肥厚等其他器质性心脏病。比较两组患者平板运动试验结果及两年内急性心肌梗死(AMI)发生率。结果:吸烟组运动试验阳性率显著高于对照组(57.5%比37.5%,P=0.001),且两年内AMI发生率吸烟组显著高于对照组(17.5%比8.5%,P=0.007)。结论:在男性人群中吸烟者患冠状动脉疾病的风险更大。Objective：To observe the difference of results of treadmill exercise test （TET） between male smokers and non-smokers .Methods：A total of 200 men with long-term smoking ≥20 cigarette per day were screened from outpatients and treated as smoking group .Another 200 men with similar age ,who didn’ t smoke at all ,were regarded as non-smoking control group （control group） .There were no medical history for hypertension ,hyperlipidemia ,diabetes ,and were nega-tive for electrocardiography and color echocardiography （exclude left ventricular hypertrophy etc .organic heart disease） in two groups .TET results and incidence rate of acute myocardial infarction （AMI） within two years were compared between two groups .Results：Compared with control group ,there were significant rise in TET positive rate （37. 5% vs .57. 5% , P〈0.001） and incidence rate of AMI （8.5% vs .17.5% ,P=0.007） within two years in smoking group .Conclusion：Risk of suffering from coronary artery disease is more high in smokers among men .

关 键 词：吸烟 运动试验 冠状动脉疾病 

分 类 号：R541.409[医药卫生—心血管疾病]