冠状动脉造影确诊的中、老年冠心病患者的危险因素比较

Comparing risk factors of middle-aged and old coronary patients diagnosed by coronary angiography

目的 比较中、老年冠心病病人危险因素情况。方法选冠状动脉造影确诊的冠心病病人105例,其中≥40岁而<60岁的中年组(A组)65例,≥60岁的老年组(B组)40例,就以下6个危险因素:高血压、糖尿病、高纤维蛋白原、吸烟史、阳性家族史及高脂血症进行比较。结果高血压、糖尿病和高纤维蛋白原(Fig),A组少于B组;吸烟史及阳性家族史A组明显多于B组;高脂血症两组问无显著差异。有3个以上危险因素者共63例,A组41例,占该组63.08％,B组22例,占该组55.00％,两组间差异无显著性。结论 中年组冠心病病人吸烟史、阳性家族史、高脂血症为主要危险因素。老年组病人应控制血糖、血脂、降压、降纤维蛋白原,对冠心病危险因素应综合治疗,预防为主。

Objective To compare the risk factors of middle-aged and old coronary patients. Methods 105 cases of coronary patients diagnosed by coronary angiography were selected. 65 patients over 40 and under 60years old (Group A) were compared with 40 patients over 60 years old (Group B) on the following six risk factors: hypertension, diabetes mellitus, high plasma fibrinogen level, positive family history, smoking and hyperlipemia. Results Group A had significant fewer patients with hypertension, diabetes mellitus and high plasma fibrinogen level and more with positive family history and smoking. Hyperlipemia was the most common risk factor in both groups, but there was no statistical difference between them. There were 41 patients (63. 08%)who had over 3 risk factors in group A,but in group B there were 22 patients (55. 00%). There was no statistical difference between two groups. Conclusion Smoking, positive family history and hyperlipemia are the main risk factors in middle-aged coronary patients. Old coronary patients must control their blood glucose, lipids and lower blood pressure, plasma fibrinogen. To the risk factors of coronary heart disease, thorough treatment and emphatic prevention are necessary.