南京市某医院城乡冠心病患者相关研究

Research on the difference between urban and rural patients with coronary heart disease in a hospital of Nanjing City

目的探讨城市与农村冠心病患者的危险因素和冠脉造影结果差异,评价生活习惯、环境因素、精神因素等与冠心病的关系。方法入选冠心病患者566例,按城市居民和农村居民分组,对各组危险因素特点及冠脉造影结果进行分析,再按不同年龄分组,比较2组患者的Gensini积分。结果城市居民组高血脂(15.0%)、吸烟(45.9%)、饮酒(26.6%)及心肌梗死患者(34.4%)比例均明显高于农村居民组(8.5%、33.7%、19.1%、25.2%),城市居民组冠脉造影3支病变发生率(32.8%)明显大于农村居民组(22.8%),按年龄分组,小于50岁组城市居民组Gensini积分(57±37.7)明显大于农村居民组(31.2±13.7)。结论城市与农村冠心病人群的危险因素、冠脉血管病变特点存在明显差异,生活习惯、环境因素和精神因素对城市冠心病人群的影响更大,对人群进行冠心病危险因素干预时应考虑城乡差异。

[Objective]To discuss the differences in risk factors and results of coronary angiography between urban and rural pa- tients with coronary heart disease, evaluate the correlation between living habits, environmental factors, mental factors and coronary heart disease. [ Methods] 566 patients with coronary heart disease were divided into two groups according to the urban and rural res- idents, to analyze the characteristics of risk factor and results of coronary angiography, and then the patients were grouped according to different age, to compare the Gensini integral. [ Results] The proportions of hyperlipoidemia （ 15.0% ）, smoking （ 45.9% ）, drinking { 26.6% } and myocardial infarction { 34.4% ） in urban residents group were significantly higher than those in rural resi- dents group （8.5%, 33.7%, 19.1% and 25.2% ）. By coronary angiography, the incidence rate of triple vessel lesions in urban residents group （32.8%） was significantly higher than that in rural residents group （22.8% }. According to the age group, Gensi- ni integral of urban residents under 50 year-old age group （ 57± 37.7 } was significantly greater than that of rural residents group { 31.2 ±13.7）. [ Conclusion] There are significant differences in risk factors and coronary artery lesion characteristics between ur- ban and rural patients with coronary heart disease. The living habits, environmental factors and mental factors have greater influ- ence on urban patients with coronary heart disease. The intervention of risk factors of coronary heart disease should pay attention to the differences between urban and rural areas.