老年冠心病患者治疗及其相关危险因素控制现状分析

Control Status of Correlative Risk Factors

目的分析老年冠心病患者治疗及其相关危险因素控制现状,总结冠心病管理经验。方法整群选取2014年1—8月该院收治的295例老年患者作为研究对象,进行问卷调查,收集体检数据,将有冠心病患者纳入冠心病组,其余纳入对照组,对比两组相关指标。结果冠心病发病率51.19%(151/295),症状控制率83.44%(126/151),接受过介入治疗3.31%(5/151);冠心病组2型糖尿病发生率29.14%、高血压发病率68.87%、心房颤动发病率4.64%高于对照组18.62%、41.38%、0.00%,冠心病组脉压高于对照组,冠心病组TC异常率15.2%、LDL异常率29.1%、吸烟率2.0%低于对照组29.7%、40.0%、17.2%,血压控制率59.6%高于冠心病组42.1%,差异有统计学意义(P<0.05)。结论地区老年人冠心病知晓率、治疗率、控制率较高,治疗效果较好,冠心病对于其它合并症控制也有一定促进作用,但仍有改善空间,应关注潜在的冠心病高危人群,做好一级预防。

Objective To analyze the treatment of elderly patients with coronary heart disease and control status of correlative risk factors and summarize the management experience of coronary heart disease. Methods 295 cases of elderly patients treated in our hospital from January 2014 to August 2014 were selected as the research object and were given questionnaire survey, the physical examination data were collected, the patients with coronary heart disease were regarded as the coronary heart disease group, and the others were regarded as the control group, the relevant indexes of the two groups were compared. Results The incidence of coronary heart disease was 51.19%（151/295）, the control rate of symptoms was 83.44%（126/151）,the rate of receiving the interventional therapy was 3.31%（5/151）; the incidence of type2 diabetes mellitus, the incidence of hypertension and the incidence of atrial fibrillation in the coronary heart disease group were higher than those in the control group（29.14%,68.87%,4.64% vs 18.62%,41.38%, 0.00%）,the pulse pressure in the coronary heart disease was higher than that in the control group, the abnormal rate of TC, the abnormal rate of LDL and the smoking rate in the coronary heart disease were lower than those in the control group（15.2%, 29.1%, 2.0% vs 29.7%, 40.0%, 17.2%）, the blood pressure control rate in the control group was higher than that in the coronary heart disease group, all differences were statistically significant（P〈0.05）. Conclusion The regional elderly patients with coronary heart disease have a higher awareness rate, treatment rate and control rate and a better treatment effect, and the coronary heart disease also plays a promoting role in the control of other complications but there is still room for improvement, and we should pay attention to the high risk group of potential coronary heart disease and make good prevention.