摘要
目的:对比新疆少数民族与内地汉族急性冠状动脉综合征(ACS)患者的危险因素和临床特征。方法:入选新疆维吾尔族184例、哈萨克族133例与同期住院的内地汉族429例三组ACS患者,登记所有患者的冠心病危险因素、特殊检查和治疗情况。结果:维吾尔族组和哈萨克族组年龄、血压、总胆固醇、低密度脂蛋白胆固醇和尿酸均显著高于汉族组(P均<0.01);维吾尔族组和哈萨克族组的吸烟病史和吸烟量均显著少于汉族组(P均<0.01),差异均有统计学意义。收缩压>120 mmHg(1 mmHg=0.133 kPa)、舒张压>80 mmHg、总胆固醇>5.18 mmol/L、低密度脂蛋白胆固醇>2.6 mmol/L和尿酸>416.5μmol/L的维吾尔族组和哈萨克族组均显著高于汉族组的发生率(P均<0.01);空腹血糖>5.6 mmol/L汉族组显著高于维吾尔族组和哈萨克族组(P<0.05~0.01),差异均有统计学意义。超声心动图检查、左心房内径>35 mm和左心室射血分数<50%的维吾尔族组和哈萨克族组均显著高于汉族组患者(P均<0.01),差异均有统计学意义。结论:新疆地区维吾尔族和哈萨克族ACS患者与内地汉族患者临床特征有明显不同。
Objective:To compare the clinical characteristics in acute coronary syndrome (ACS)patients among Han, Uygur, and Kazakhs nationalities in China. Methods :A total of 746 ACS patients were recruited at the same period of time and classified into 3 ethnic groups. Uygur group, n = 184 and Kazakhs group, n = 133 from Xinjiang, Han group, n = 429 from inland China. The ACS related characteristics with other chnical informations were studied in different groups. Results:Compared with Han Gronp,Uygur and Kazakhs groups showed elder age and higher levels of blood pressure( BP), total cholesterol(TC) ,low density lipoprotein-cholesterol(LDL-C) and uric acid, all P〈0.01; the history of smoking was less in Uygur and Kazakhs groups,P〈0.01. The prevalence of BP〉 120/80 mmHg, TC〉5.18 mmol/L, LDL-C〉2.6 mmol/L and uric acid〉416. 5umol/L were higher in Uygur and Kazakhs groups than Han group, all P〈0. 01. The prevalence of fasting blood glucose〉5.6 mmol/L was higher in Han group than the other 2 groups,P〈0. 05 -0. 01. The occurrence of left atril diameter〉35mm and left ventricular ejection fraction〈50% were higher in two Xinjiang groups, all P〈0. 01. Conclusion :There were significant differences of clinical characteristics in ACS patients between Han patients of inland and Uygur, Kazakhs patients in Xinjiang, China.
出处
《中国循环杂志》
CSCD
北大核心
2012年第6期439-442,共4页
Chinese Circulation Journal