疑似冠心病患者经冠状动脉造影诊断为冠心病的危险因素分析  

Analysis of risk factors for coronary heart disease diagnosed by coronary angiography

作　　者：宋诗飞 高霞[1] 张红军[1] 王靖 谢伟[1] SONG Shifei;GAO Xia;ZHANG Hongjun(Department of Cardiovascular Disease,General Hospital of Xinjiang Production and Construction Corps,Urumqi 830002,CHINA)

机构地区：[1]新疆生产建设兵团医院心血管病科,新疆乌鲁木齐830002 [2]中国医学科学院阜外医院心律失常中心

出　　处：《江苏医药》2024年第4期397-400,共4页Jiangsu Medical Journal

基　　金：新疆生产建设兵团医院青年基金项目(2018011)。

摘　　要：目的分析疑似冠心病(CHD)患者经冠状动脉造影(CAG)诊断为CHD的危险因素。方法疑似CHD患者488例中,404例CAG诊断为CHD(A组),84例CAG未诊断为CHD(B组)。比较两组一般资料、血液指标和心脏彩超指标。分析经CAG诊断为CHD的危险因素。结果与B组比较,A组年龄更大,吸烟史、2型糖尿病及心力衰竭比例升高,颈动脉硬化比例和左心室射血分数降低,而TC、TG及单核细胞/高密度脂蛋白胆固醇比值(MHR)升高(P<0.05)。年龄增大、吸烟史、2型糖尿病、TG和MHR是经CAG诊断为CHD的独立危险因素(P<0.05)。结论年龄增大、吸烟史、2型糖尿病、TG和MHR升高是疑似CHD患者经CAG诊断为CHD的独立危险因素。Objective T0analyze the risk factors for coronary heart disease(CHD)diagnosed by coronary angiography(CAG).Methods CAG was performed in 488patients suspected to be CHD,of whom 404cases were diagnosed as CHD(group A)and 84cases were not diagnosed as CHD(group B).General data,blood indicators and cardiac color ultrasound indicators were compared between the two groups.The risk factors for CHD diagnosed by CAG were analyzed.Results Compared with group B,older age,higher proportions with smoking history,type 2diabetes mellitus and heart failure,lower proportion with carotid atherosclerosis,lower left ventricular ejection fraction,higher levels of TC,TG,and higher monocyte to high-density lipoprotein cholesterol ratio(MHR)were in group A(P<0.05).Older age,smoking history,type 2diabetes mellitus,higher TG and MHR were the risk factors for the diagnosis of CHD by CAG(P<0.05).Conclusion Older age,smoking history,type 2diabetes mellitus,higher TG and MHR are the risk factors for the diagnosis of CHD by CAG.

关 键 词：冠状动脉造影 冠心病 单核细胞/高密度脂蛋白胆固醇比值 

分 类 号：R541[医药卫生—心血管疾病]