中青年冠心病患者的临床及冠状动脉造影特点

The clinical and angiographic characteristics of young and middle-age adults with coronary heart disease

目的:探讨中青年人冠心病(coronary heart disease,CHD)患者的临床及冠状动脉造影特点。方法:将我院2007年2-9月150例CHD患者根据年龄分为中青年组(年龄<60岁)和老年组(年龄≥60岁),对两组患者一般资料、血生化指标及冠状动脉造影结果进行回顾性分析,然后进行统计学处理。结果:两组患者均以男性为主,且男性患者较女性冠状动脉病变程度为重。中青年组较老年组高血压患病率低。中青年组以单支病变为主,而老年组以多支病变较多,差异有显著性(P<0.05),中青年组左回旋支和右冠状动脉病变构成比明显低于老年组(P<0.05)。结论:中青年冠心病患者,以男性为主,对其早期防治有重要的意义。

Objective To explore the clinical and angiographie characteristics of young and middle-age adults with coronary heart disease （CHD）. Methods 150 patients with CHD who visited our hospital from February 2007 to September 2007 were divided into young and middle-age group（〈 60 yrs） and elderly group （≥60 yrs） according to age. The general information, blood biochemical indices, and outcomes of coronary angiography in both groups were retrospectively investigated and then statistically analyzed. Results Most patients were male in the two groups and the coronary artery lesions were more severe in male than in female. The incidence of hypertension was lower in the young and middle-age group than in the ehterly group. The two groups differed significantly in that young and middle-age adults mainly had single vessel disease while more elderly patients had multiple vessel disease （P 〈 0.05） and that the incidence of the t,CX or RCA lesions was markedly lower in the young and middle-age group （P 〈 0.05）. Conclusion Young and middle-age adults with CHD are mainly male, to which more attention should be paid in the early prevention and treatment.