老年冠心病的影响因素研究  

Influencing Factors of Coronary Artery Disease in the Aged

作　　者：刘湘华[1] 张瑶[1] 唐铭翔[1] 

机构地区：[1]湖南省人民医院,湖南省长沙市410005

出　　处：《实用心脑肺血管病杂志》2016年第10期27-29,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的分析老年冠心病的影响因素。方法选取2013年12月—2015年12月湖南省人民医院收治的冠心病患者127例,按照年龄分为老年组69例和中年组58例。比较两组患者临床资料,分析老年冠心病的影响因素。结果两组患者饮酒史阳性率比较,差异无统计学意义(P>0.05);老年组患者女性比例、吸烟史阳性率、高血压病史和糖尿病病史阳性率及血清总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)水平高于中年组,血清高密度脂蛋白胆固醇(HDL-C)水平低于中年组(P<0.05)。多因素logistic回归分析结果显示,女性〔OR=2.18,95%CI(1.87,4.98)〕、吸烟史〔OR=2.13,95%CI(1.80,4.76)〕、高血压病史〔OR=2.28,95%CI(1.98,5.46)〕、糖尿病病史〔OR=3.57,95%CI(2.76,7.13)〕、TC〔OR=1.75,95%CI(1.47,4.09)〕、TG〔OR=1.88,95%CI(1.63,3.85)〕、HDL-C〔OR=1.35,95%CI(1.08,3.14)〕、LDL-C〔OR=1.59,95%CI(1.45,3.90)〕是老年冠心病的危险因素(P<0.05)。结论女性、吸烟史、高血压病史、糖尿病病史、TC、TG、HDL-C、LDL-C是老年冠心病的危险因素。Objective To analyze the influencing factors of coronary artery disease in the aged. Methods A total of127 patients with coronary artery disease were selected in the People＇ s Hospital of Hu＇ nan Province from December 2013 to December 2015,and they were divided into A group（ aged patients,n = 69） and B group（ middle aged patients,n = 58）according to the age. Clinical data was compared between the two groups,and the influencing factors of coronary artery disease in the aged were analyzed. Results No statistically significant differences of positive rate of drinking history was found between the two groups（ P〉0. 05）; the proportion of female,positive rates of smoking history,hypertension history and diabetes history,TC,TG and LDL-C of A group were statistically significantly higher than those of B group, while HDL-C of A group was statistically significantly lower than that of B group（ P〈0. 05）. Multivariate logistic regression analysis showed that,female〔OR = 2. 18,95% CI（ 1. 87,4. 98） 〕,smoking history 〔OR = 2. 13,95% CI（ 1. 80,4. 76） 〕,hypertension history 〔OR= 2. 28,95% CI（ 1. 98,5. 46） 〕, diabetes history 〔OR = 3. 57,95% CI（ 2. 76,7. 13） 〕, TC 〔OR = 1. 75,95% CI（ 1. 47,4. 09） 〕,TG 〔OR = 1. 88,95% CI（ 1. 63,3. 85） 〕,HDL-C 〔OR = 1. 35,95% CI（ 1. 08,3. 14） 〕 and LDL-C〔OR = 1. 59,95% CI（ 1. 45,3. 90） 〕 were risk factors of coronary artery disease in the aged（ P〈0. 05）. Conclusion Female,smoking history,hypertension history, diabetes history, TC, TG, HDL-C and LDL-C are risk factors of coronary artery disease in the aged.

关 键 词：冠心病 心血管疾病 老年人 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]