女性非急性心肌梗死冠状动脉粥样硬化性心脏病患者危险因素及近期临床事件观察

Risk factors and recent cardiac events of non-acute myocardial infarction female patients with coronary atherosclerotic heart disease

目的探讨女性非急性心肌梗死冠状动脉粥样硬化性心脏病(CAHD)患者的危险因素及近期临床事件。方法回顾性分析534例CAHD患者的临床资料。结果女性患者高血压和2型糖尿病发生率、高密度脂蛋白和三酰甘油水平均显著高于男性(P<0.05),尿酸水平显著低于男性(P<0.05);男性患者与女性患者服药依从性比较差异无统计学意义(P>0.05);女性患者高血压控制达标率显著低于男性(P<0.05),心绞痛发生率和靶血管重建率高于男性(P<0.05),但非致命性心肌梗死发生率低于男性(P<0.05)。结论女性非急性心肌梗死CAHD患者高血压、高血糖及高血脂等危险因素控制较差。

Objective To explore the risk factors and recently clinical events of non-acute myocardial infarction（AMI） female patients with coronary atherosclerotic heart disease （ CAHD ）. Methods The clinical data of 534 cases of CAHD were retrospectively analyzed. Results The incidence rates of hypertension and type 2 diabetes mellitus,and the levels of high den- sity lipoprotein cholesterol and triacylglycerol in female patients were significantly higher than those in male patients （P 〈 0. 05 ） , but the level of uric acid was significantly lower（ P 〈 0.05 ）. There was no statistically significant difference in medica- tion compliance between female and male patients （ P 〉 0.05 ）. Compared with male patients, the hypertension control rate was significantly lower than that in female patients （ P 〈 0.05 ） , and the angina incidence and target vessel revascularization inci- dence were higher, but the incidence of non-fatal myocardial infarction was lower （ P 〈 0.05 ）. Conclusion The control of hy- pertension, hyperglycosemia and hyperlipemia is poor in non-AMI female patients with CAHD.