维吾尔族与汉族老年冠心病患者冠状动脉病变的临床研究

Clinical study of coronary artery lesions in Han and Uygur elderly patients with coronary artery disease

目的探讨维吾尔族与汉族老年冠心病患者的冠状动脉病变特点。方法回顾性分析1007例老年冠心病患者病例资料,根据民族分为汉族组(604例)和维吾尔族组(403例)。从冠状动脉血管优势型、病变部位、病变血管支数、病变分型、病变血管狭窄程度加以分析。结果维吾尔族组Gensini积分高于汉族组(P<0.01);两组男性Gensini积分均高于同组女性(P<0.05,P<0.01)。维吾尔族组C型病变发生率明显高于汉族组,而A型病变发生率明显低于汉族组(P<0.01)。汉族组男、女性患者C型病变发生率分别低于维吾尔族相同性别患者(P<0.05,P<0.01)。维吾尔族组单支病变发生率明显低于汉族组,而3支病变发生率明显高于汉族组(P<0.01)。汉族组男、女性患者3支病变发生率分别低于维吾尔族相同性别患者(P<0.05)。两组男性患者3支病变发生率均高于同组女性(P<0.05.P<0.01)。结论相同民族老年冠心病患者,男性冠状动脉病变严重程度较女性重。维吾尔族老年冠心痛患者3支病变率高,C型病变多,冠状动脉病变严重程度均较汉族相同性别重。

Objective To study the characteristics of coronary arteriography of coronary artery disease（CHD） in Han and Uygur elderly patients. Methods A total of 1007 elderly patients with CHD were analyzed retrospectively in our hospital. They were divided into two groups according to different nationalities, Han group 604 cases,Uygur group 403 cases. The coronary lesions were evaluated by the coronary dominant type, the number, the type and location of coronary artery lesions. Results Gensini scores of Uygur group were significantly higher than those of Han patients （P 〈 0.01）. Male Gensini scores of both groups were higher than those of the females in same group （P 〈 0.05, P 〈 0.01）. Compared with the Han elderly patients,C-type rate was higher and A-type rate was lower in the Uygur patients （P 〈 0.01）. C-type rates of male and female elderly patients in the Han group were lower than those of the Uygur same sex group （P〈 0.05, P 〈 0. 01）. The incidence of lesions of single branch in Uygur elderly patients was lower than that in Han,but the incidence of three-vessel disease was significantly higher （P 〈 0.01）. The incidence of three-vessel disease in Han elderly patients was significantly lower than that in Uygur in both male and female patients （P〈 0.05）. The incidences of lesions of three branches in males of both groups were higher than those in females in the same group （P〈 0.05, P〈 0.01）. Conclusions Coronary artery lesion in elderly male patients with CHD was significantly more severe than that in female patients of same nationality. Uygur elderly patients with CHD have more severe coronary artery lesions than Han patients of same sex,more three-branch lesions and more C-type lesions.