探讨不同发病年龄冠心病患者的特点及其独立危险因素  

To Explore the Characteristics of Patients with Coronary Heart Disease at Different Ages of Onset and their Independent Risk Factors

作　　者：梁普博[1] 郑云龙[1] 黄小林[2] LIANG Pubo;ZHENG Yunlong;HUANG Xiaolin(Department of Cardiovascular Medicine,Guangdong Provincial Agricultural Reclamation Central Hospital,Zhanjiang,Guangdong 524002;Department of Medical Records,Guangdong Provincial Agricultural Reclamation Central Hospital,Zhanjiang,Guangdong 524002)

机构地区：[1]广东省农垦中心医院心血管内科,广东湛江524002 [2]广东省农垦中心医院病案科,广东湛江524002

出　　处：《智慧健康》2022年第8期71-73,共3页Smart Healthcare

摘　　要：目的分析不同发病年龄冠心病患者的特点及其独立危险因素。方法回顾性分析我院在2019年2月-2020年2月收治的89例冠心病患者临床资料,根据其发病年龄,将其分为A组和B组,A组35例,男性和女性患者年龄分别在55岁以下和65岁以下,B组54例,男性和女性患者年龄分别在55岁及以上和65岁及以上,对两组患者的疾病临床特点以及组冠状动脉病变程度进行比较,同时分析影响其疾病发生的相关危险因素。结果相较于A组,B组患者的急性冠脉综合征比例明显更低,单支病变比例明显更低,右冠状动脉病变比例明显更高,左回旋支病变比例明显更高(P<0.05),组间左主干病变比例和左前降支病变比例比较无统计学意义(P>0.05)。相较于A组,B组患者的轻度病变比例明显更低,重度病变比例明显更高(P<0.05)。单因素分析:相较于A组,B组患者的家族史比例明显更低,高血脂比例明显更高,吸烟比例明显更低,HDL-C水平明显更高(P<0.05)。多因素分析:多因素Logistic分析结果显示不同年龄冠心病患者的危险因素分别为家族史、高血脂、吸烟以及HDL-C(P<0.05)。结论不同发病年龄冠心病患者的临床特点具有较大差异,其中家族史、高血脂、吸烟以及HDL-C是其疾病发生的危险因素,临床需要提高重视。Objective Analyze the characteristics of patients with coronary heart disease at different ages of onset and their independent risk factors.Methods A retrospective analysis of the clinical data of 89 patients with coronary heart disease admitted to our hospital from February 2019 to February 2020.According to their age of onset,they were divided into groups A and B,and 35 patients in group A.The ages of male and female patients There were 54 cases in group B under 55 and 65 years old,male and female patients were 55 years old and over and 65 years old and over,respectively.The clinical characteristics of the disease and the degree of coronary artery disease in the two groups were compared.Analyze the related risk factors that affect the occurrence of the disease.Results Compared with group A,patients in group B had a significantly lower percentage of acute coronary syndromes,a significantly lower percentage of single-vessel disease,a significantly higher percentage of right coronary artery disease,and a significantly higher percentage of left circumflex artery disease(P<0.05).There was no statistically significant comparison between the ratio of left main disease and the ratio of left anterior descending artery disease between groups(P>0.05).Compared with group A,the proportion of patients in group B was significantly lower with mild lesions,and the proportion of patients with severe lesions was significantly higher(P<0.05).Univariate analysis:Compared with group A,the proportion of family history of patients in group B was significantly lower,the proportion of hyperlipidemia was significantly higher,the proportion of smoking was significantly lower,and the level of HDL-C was significantly higher(P<0.05).Multivariate analysis:The results of multivariate logistic analysis showed that the risk factors for coronary heart disease patients of different ages were family history,hyperlipidemia,smoking and HDL-C(P<0.05).Conclusion The clinical characteristics of patients with coronary heart disease at different ages of o

关 键 词：不同发病年龄 冠心病 临床特点 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]