冠心病病人危险因素分析及护理干预

Analysis of risk factors and nursing intervention of patients with coronary artery disease

[目的]分析冠心病病人的危险因素及冠状动脉病变情况,提出相应护理干预措施。[方法]选择360例经冠状动脉造影诊断为冠心病的病人,进行年龄分层分析其危险因素及冠状动脉病变情况。[结果]中青年冠心病病人以男性、吸烟、阳性家族史、高脂血症和超重为主,病变以单支为主;老年冠心病病人多合并有糖尿病、高血压等,以多支病变、复杂病变(C型病变)为多。[结论]应针对中青年冠心病病人的危险因素采取积极的护理干预。

Objective： To analyze risk factors and coronary artery lesions of young and middle--aged patients with coronary artery disease, and to put forward some corresponding nursing interventions for them. Methods： A total of 360 patients diagnosed coronary artery disease by coronary angiography, then the risk factors and coronary artery lesions of patients were analyzed by age stratification. Results： Young and middle--aged patients with coronary artery disease are mainly male, smoking, positive family history, hyperlipidemia and overweight. Lesions of them are mostly single branch of coronary artery. Elderly coronary artery disease patients in most cases associated with diabetes, hypertension etc. Lesions of them are mainly multi--vessel disease and com- plex lesions （type--C lesions）. Conclusion：One should take some active nursing interventions aiming directly at risk factors of young and middle--aged coronary artery disease patients.