女性冠心病的临床研究

The Clinical Study of Female Patients With Coronary Artery Disease

目的：探讨女性冠心病的临床特点和预后。方法：将１５０例女性冠心病患者与２２９例男性冠心病患者的易患因素、临床特点和住院病死率进行比较。结果：女性冠心病发病年龄晚于男性；女性冠心病患者伴糖尿病者多于男性（Ｐ＜００５）。女性患者中停经者占８７％，临床类型以心绞痛为主，女性心肌梗塞病死率高于男性（Ｐ＜００５）。结论：停经是女性冠心病一个特殊危险因素，女性心肌梗塞患者预后较差。

Objective: To study the clinical characteristics and prognosis of female patients with coronary artery disease (CAD).Methods:The risk factors,clinical characteristics and mortality of 150 female and 229 male patients in hospital were statistically compared.Results:The female patients were older than the male patients;the female patients accompanying diabetes mellitus were more than the male patients accompanying diabetes mellitus (33% vs 23%, P <0 05).87% female patients were menopausal. Angina pectoris was more common than myocardial infarction (MI) in the female patients,and the mortality of the female patients with MI was higher than that of the male patients(40% vs 19%, P <0.05).Conclusion:The menopause was a specific risk factor for female patients,and the prognosis of those patients with MI was worse than that of male patients.