青年与中老年男性患者冠心病临床及冠状动脉特点分析  

Characteristics of coronary artery lesions and risk factors in young and middle-aged and elderly males

作　　者：王娇[1] 俎德玲[1] 杨庆业[1] 苏悦 诸葛毅[2] WANG Jiao;ZU Deling;YANG Qingye(Cardiology Department,Quzhou People's Hospital,Quzhou324000,China)

机构地区：[1]浙江省衢州市人民医院心内科,324000 [2]浙江衢州职业技术学院医学院

出　　处：《心电与循环》2019年第6期488-490,共3页Journal of Electrocardiology and Circulation

基　　金：浙江省科技计划项目(2015C33276);衢州市科技计划资助项目(2014J023)

摘　　要：目的分析青年和中老年男性患者冠心病的危险因素及冠状动脉病变特点。方法收集衢州市人民医院心内科住院患者220例,均为冠状动脉造影明确为冠心病诊断的男性患者,根据年龄分为青年组(84例)、中老年组(136例)。比较两组冠状动脉造影后冠状动脉罪犯血管病变特点及冠状动脉侧支循环情况;同时对两组患者的血压、血糖、血脂、吸烟及饮酒情况及体重指数(BMI)进行比较分析。结果青年组吸烟、饮酒、肥胖高于中老年组(P<0.01)。两组患者冠状动脉的罪犯血管中左前降支病变比例最高,青年冠心病组病变血管以单支病变为主、多支病变累及比例最低,呈低Gensini积分病变,中老年组中多支冠状动脉均有累及、单支病变比例最低,呈高Gensini积分病变,两组比较差异均有统计学意义(P<0.05或0.01)。老年组侧支循环建立的比例高于中青年组(P<0.01)。结论青年男性冠心病患者单支病变为主,危险因素较多,中老年患者常累及多支冠状动脉。Objective To analyze the risk factors and the characteristics of coronary artery lesions in young and middle-aged and elderly male patients with coronary heart disease(CHD).Methods A retrospective analysis was made on 220 male patients with CHD diagnosed by coronary angiography from January 2018 to June 2018.They were divided into young group(84 cases)and middle-aged and elderly group(136 cases)according to age.Body mass index(BMI),history of hypertension,dyslipidemia,diabetes,smoking and drinking were compared between the two groups.Results Smoking,drinking and obesity were significantly more in young group than in middle-aged and elderly group(P<0.01).The proportion of anterior descending coronary artery lesions was the highest in both groups.Single vessel lesion was dominant,multivessel lesion was less and Gensini score was lower in young group.Multivessel lesion was dominant,single vessel lesion was less and Gensini score was higher in middle-aged group.There were significantly differences between the two groups(all P<0.01).Collateral circulation developed significantly more in elderly group than in young group(P<0.01).Conclusion Single vessel lesion and more risk factors are the features of young CHD patients.Old CHD patients often have coronary lesions involved to multi vessels.

关 键 词：青年男性 冠状动脉病变 冠心病 危险因素 

分 类 号：R54[医药卫生—心血管疾病]