心绞痛与心肌梗塞相关危险因素对比分析

Comparison and analysis on the risk factors of angina cordis and myocardial infarct

目的探讨心绞痛与心肌梗塞相关危险因素的差异。方法采用横断面调查与对比研究方法,分析心绞痛和心肌梗塞病例生活相关危险因素与生化指标的差异。结果生活相关危险因素及生化指标分析结果:心绞痛病例的平均就诊年龄、男性比例、吸烟率、饮酒率和血糖(GLU)水平均低于心肌梗塞,而收缩压(SBP)、脉压(PP)和高密度脂蛋白水平高于心肌梗塞。多因素调整的logistic回归分析结果显示,SBP和PP对心绞痛的危险高于心肌梗塞,而舒张压(DBP)和GLU对心肌梗塞的危险高于心绞痛。结论DBP和GLU的升高对心肌梗塞的危险大于心绞痛,而SBP和PP的升高对心绞痛的危险大于心肌梗塞。

Objective To investigate the difference of risk factors between angina cordis and myocardial infarct. Methods Cross-sectional study and contrastive analysis were used to analyze the clinical data and laboratory data of angina cordis and myocardial infarct cases. Results Analysis of risk factors and laboratory data suggested that average age, male proportion, smoking rate, alcohol drinking rate, and glucose （GLU） level of angina cordis cases were lower than those of myocardial infarct cases. The levels of systolic blood pressure （SBP）, pulse pressure （PP） and high density lipoprotein of angina cordis cases were higher than those of myocardial infarct cases. With multiple risk factors adjusted, the results of multivariate logistic regression analysis suggested that SBP and PP had closer relationships to angina cordis than myocardial infarct. But diastolic blood pressure （DBP） and GLU had closer relationship to myocardial infarct than angina cordis. Conclusions High levels of DBP and GLU may have closer relationship to myocardial infarct than angina cordis. But high levels of SBP and PP may have closer relationship to angina cordis than myocardial infarct.