女性冠心病的危险因素与冠状动脉病变特点分析

Risk Factors and Characteristics of Coronary Artery Disease in Female Patients with Coronary Artery Disease

目的对女性冠心病的危险因素与冠状动脉病变特点进行分析。方法采集2012年12月-2015年1月女性冠心病患者116例,按性别分为两组,即男性冠心病组和女性冠心病组。对两组患者的危险因素与冠状动脉病变特点进行分析比较。结果男性冠心病组左前降支血管病变及单支血管病变的发病率均明显低于女性冠心病组（P〈0.05）。多因素回归分析结果表明,女性冠心病和男性冠心病组不同的危险因素包括高甘油三酯和高血压病史。单因素分析结果表明,女性冠心病组和男性冠心病组不同的危险因素包括高甘油三酯、高血压、高血浆纤维蛋白原以及高、低密度脂蛋白胆固醇。结论女性冠心病常见的为单支血管病变,其中左前降支血管最易病变。高甘油三酯及高血压是女性冠心病患者与男性冠心病患者存在显著差异的危险因素。

Objective To women the risk factors of coronary heart disease and coronary artery lesion characteristics were analyzed. Methods Collected between December 2012 and January 2012 in our women,116 cases of patients with coronary heart disease,divided into two groups according to gender,men and women CHD group coronary heart disease group. Risk factors in two groups of patients with coronary artery lesion characteristics were analyzed. Results The male CHD group left anterior descending branch of vascular lesions and vascular lesions incidence of coronary heart disease group were significantly lower than women（ P 〈0. 05）. Multiple factors regression analysis results show that different sets of female coronary heart disease and male coronary heart disease risk factors including high triglycerides and history of high blood pressure. Single factor analysis results show that different sets of female and male CHD group coronary heart disease risk factors including high triglycerides,high blood pressure,high plasma fibrinogen and high and low density lipoprotein cholesterol. Conclusions Coronary heart disease（ CHD） common women are single vascular lesions,left anterior descending branch of vascular lesions most easily. High triglycerides and high blood pressure is female patients with coronary heart disease（ CHD） with significant differences in patients with coronary heart disease risk factors.