女性冠心病患者的危险因素分析  

The Risk Factors of Women with Coronary Heart Disease

作　　者：吴辉[1] 张萌[2] WU Hui;ZHANG Meng(Department of Cardiology,The General Hospital of Ningxia Medical University,Yinchuan 750004 China;Ningxia Medical University,Yinchuan 750004 China)

机构地区：[1]宁夏医科大学总医院,银川750004 [2]宁夏医科大学,银川750004

出　　处：《内蒙古医学杂志》2022年第2期147-148,151,共3页Inner Mongolia Medical Journal

基　　金：宁夏医科大学青年基金项目(编号:XQ2011029)。

摘　　要：目的 探讨女性冠心病患者的危险因素。方法 经冠脉造影确诊的72例女性冠心病患者与同期造影确诊的女性非冠心病患者64例,回顾性分析比较两组患者的冠心病危险因素。结果 女性冠心病患者与非冠心病患者在腰臀比、总胆固醇、高密度脂蛋白胆固醇、脂蛋白a、总胆红素、雌二醇及尿酸水平方面比较,有显著性差异(P<0.05)。在年龄、体重指数、甘油三酯、低密度脂蛋白胆固醇和C反应蛋白、纤维蛋白原水平之间无统计学意义(P>0.05)。多因素回归分析显示,低高密度脂蛋白胆固醇、低总胆红素、低雌二醇和腰臀比是女性冠心病患者的独立危险因素。结论 女性冠心病人中存在多个危险因素,还有待于进一步研究。Objective To assess the risk factors of women with coronary heart disease(CHD).Methods By coronary angiography confirmed the diagnosis of 72 female patients with CHD and 64 female patients without CHD,compare two groups of patients with CHD risk factors were retrospectively analyzed.Results The levels ofwaist-to-hip ratio,TC,HDL-C,Lp(a),TBIL,E2 and UA positively related with women with CHD(P<0.05).There was no significant difference in age,BMI,TG,LDL-C,CRP and FIB(P>0.05).Multivariate regression analysis showed that low HDL-C,low TBIL,low E2 and waist-to-hip ratio were independent risk factors in women with coronary heart disease.Conclusion There are many risk factors in female patients withCHD,which need to be further studied.

关 键 词：女性 冠状动脉疾病 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]