宁夏银北地区回族与汉族冠状动脉造影及病变特征的比较  

Study on the radiographic images and pathological changes in coronary arteries of Hui and Han people in Yinbei area of Ningxia

作　　者：何毅[1] 刘红[1] 尹君[1] 齐雁超 盖婷 马艳丽[1] 黄青[1] 

机构地区：[1]宁夏石嘴山市第二人民医院,宁夏石嘴山753000

出　　处：《宁夏医学杂志》2015年第6期517-518,共2页Ningxia Medical Journal

基　　金：宁夏自然科学基金资助项目(NZ13239)

摘　　要：目的应用冠状动脉造影的影像学特征探讨宁夏银北地区回族和汉族冠状动脉心脏病患者冠状动脉及病变特征的异同。方法收集行冠状动脉造影确诊为冠状动脉心脏病的患者的临床资料926例,按不同民族分为2组,其中回族281例(30.3%),汉族645例(69.7%)。对比两者在近端冠状动脉的直径以及冠状动脉病变程度的异同。结果宁夏银北地区回族与汉族近端冠状动脉的直径差异无统计学意义(P>0.05),且在单支血管病变、双支血管病变、三支血管病变差异无统计学意义(P>0.05);与汉族人群相比,回族冠心病患者慢性闭塞病变、弥漫性病变及小血管病变发生率高,差异有统计学意义(P<0.05)。结论宁夏银北地区回族与汉族近端冠状动脉的直径无显著差异,但回族患者受累血管的慢性闭塞病变、弥漫性病变及小血管病变发生率高,病变程度重。Objective To explore differences and similarities in the coronary arteries and theirs pathological changes of patients of Hui and Han people in Yinbei area of Ningxia by means of application of radiographic imaging. Methods 926 cases of patients diagnosed affirmative of coronary heart disease through radiographic imaging,and the patients were divided into two groups according to their ethnici- ties ,out of which there were 281 cases of Hui （30.3%） and 645 cases of Han （69.7%）. The similarities and differences of the two groups in the diameter of the proximal coronary arteries and the degree of pathological changes in coronary arteries were collected and analyzed. Results No obvious difference in the diameter of proximal coronary arteries was detected among patients of Hui and Han ethnic groups in Yinbei Area of Ningxia, nor was any obvious difference detected in the pathological changes in veins with single,double and triple branch. Hui patients with coronary heart diseases tended to be of higher rate in developing chronic occlusion, diffusion,and small vessels disorders. Such observation was of eminent contrast against Han patients. Conclusion No obvious difference in the diameter of proximal coronary ar- teries is detected among patients of Hui and Han ethnic groups in Yinbei area of Ningxia. The involved vessels of Hui patients with coronary heart diseases tend to be of higher rate in developing chronicm occlusion, diffusion, and small vessels disorders of high degree.

关 键 词：冠心病 回族 汉族 冠状动脉造影 冠状动脉病变 

分 类 号：R541.4[医药卫生—心血管疾病]