蒙古族及汉族居民冠心病发病与饮酒关系

Relationship between alcobol drinking and onset of coronary heart disease among Mongolian and Han people

目的探讨蒙古族冠心病病例发病的危险因素。方法采用横断面调查,分析442例蒙古族和1 625例汉族冠心病住院病例的临床和实验室检查资料。结果蒙古族冠心病病例平均年龄（60.97±11.24）岁,低于汉族病例的（63.85±11.69）岁,P=0.000;60岁以下的蒙古族病例心脏病史的比例（23.7%）低于汉族病例（31.7%）（P=0.036）;60～70岁的蒙古族病例饮酒率（22.8%）高于汉族病例（14.3%）（P=0.024）,且长期饮酒的比例较大;70岁以上的蒙古族病例糖尿病史的比例（1.0%）低于汉族病例（10.3%）（P=0.003）。60岁以下的蒙古族病例舒张压水平低于汉族病例（P〈0.05）;60岁以上的蒙古族病例血糖水平低于汉族病例（P〈0.05）;60～70岁的蒙古族病例总胆固醇水平低于汉族病例（P〈0.05）,各年龄组蒙古族病例甘油三酯的水平均低于汉族病例（P〈0.05）。结论与汉族比较,蒙古族冠心病病例发病年龄提前,长期饮酒在蒙古族冠心病的发生中起了很重要的作用。

Objective To investigate the risk factors of Mongolian patients with coronary hcart disease（CHD）, Methods Cross sectional study was used to analyze the clinical data and laboratory data of 442 Mongolian patients and 1625 Han patients. Results The mean age of Mongolian patients（60.97 ± 11.24 years） was less than that of Han patients（63.85 ± 11.69 years） （ P = 0. 000）. The proportion of heart disease history in Mongolian patients（aged〈 60 years） （23.7 % ） was low- er than in Han patients（31.7 % ） （ P = 0. 036 ）. Alcohol drinking rate in Mongolian patients （ aged 60 -- 70 years） （ 22.8 % ） was higer than in Han patients（ 14.3 % ）（ P = 0.024） and the proportion of long time alcohol drinking was higher in Mongolian patients, The proportion of diabetes history in Mongollian patients（aged〉 70 years）（ 1.0 % ） was lower than in Han patients（ 10.3 % ） （ P = 0. 003）. The diastolic blood pressure level of Mongolian patients（aged〈 60 years） was lower than that of Han patients（ P 〈 0.05 ）. The glucose level of Mongolian patients（aged≥60 years） was lower than that of Han patients（ P 〈 0.05 ）. The total cholesterol level of Mongolian patients（ aged 60- 70 years） was lower than that of Han patients（ P 〈 0.05）. The triglyeride level of all Mongolian patients was lower than that of Han patients（ P 〈 0.05 ）. Conclusion Compared with Han patients, Mongolian patients were younger. Long time alcohol drinking played an important role in Mongolian CHD patients.