冠心病患者血压和血脂及血糖达标率分析

Analysis of the rates of achieving goal blood pressure,blood sugar and blood lipid in patients with coronary artery disease

目的分析经冠状动脉造影诊断为冠心病患者的血压、血脂和血糖达标率情况,评价其3个危险因素达标率对冠心病的影响。方法选择冠心病患者2916例,根据指南规定的达标标准,分析入院时的血压、血脂和血糖水平及出院时的血压水平。结果 291 6例冠心病患者血压以<130/80 mm Hg(1 mm Hg=0.13 kPa)为达标,入院时达标率28.4%,出院时87.5%;以<140/90 mm Hg为达标,入院时达标率65.8%,出院时90.0%。HDL-C和TG入院时达标率分别为23.0%和58.0%;978例高危患者LDL-C和TC入院时达标率分别为54.3%和49.5%,1 938例极高危患者LDL-C和TC入院时达标率分别为17.4%和5.8%。糖尿病患者538例,占冠心病的18.5%,入院时达标率仅为1.9%;糖尿病和空腹血糖受损者共1138例,占冠心病的39.0%。结论冠心病患者入院时血压、血脂和血糖的达标率相对较低,尤其以空腹血糖理想达标率及极高危患者LDL-C和TC达标率低为特点,提高冠心病患者的血糖、血脂和血压达标率,对于冠心病的二级预防极为重要。

Objective To analyse the rates of achieving goal blood pressure, blood glucose and blood lipid in patients with CAD which was diagnosed by coronary arteriography and to explore the relationships between CAD and rates of reaching guidelines of the three risk factors, respectively. Methods The levels of blood pressure, blood sugar and blood lipid on admission were analyzed retrospectively in 2916 cases of CAD, and the level of blood pressure was analyzed when they were discharged. Results With 130/80 mm Hg as the goal blood pressure,the rate of achieving goal blood pressure was 28.4% on admission, and was 87.5% when they were discharged. With 140/90 mm Hg as the goal blood pressure, the rate of achieving goal blood pressure was 65.8% on admission,and was 90.0% when they were discharged. With 〉1.04 mmol/L as the goal HDL-C,the rate of achieving goal HDL-C was 23. 0% on admission. With 〈2.59 mmol/L and 2.07 mmol/L as the goal LDL-C in high risk patients and very high risk patients respectively, the rates of achieving goal LDL-C were ,54. 3% and 17. 4% respectively. With 〈4. 14 mmol/L and 〈3.11 mmol/L as the goaL TC in high risk and very high risk patients,respectively,the rates of achieving goal TC were 49.5%and 5.8% respectively. With 1.70 mmol/L as the goal TG,the rate of achieving goal TG was 58.0 %. There were 538 diabetic patients with CAD,accounting for 18.5% ,their rates of achieving goal fasting blood glucose was 1.9%,1138 cases had diabetes and impaired fasting blood glucose,accounting for 39.0% in CAD. Conelusion The rates of achieving goal blood pressure,fasting blood glucose and blood lipids in patients with CAD were low on admission. The results show that enhancing the rates of achieving goal blood pressure, goal fasting