老年冠心病患者心血管事件的危险因素与药物治疗效果分析

Risk Factors of Cardiovascular Events in Elderly Patients With Coronary Heart Disease

目的分析老年冠心病患者心血管事件的危险因素与药物治疗效果。方法选取我院2013年7月—2016年8月收治的150例老年冠心病患者作为观察目标,按照是否出现心血管事件将其分为参照组(n=60,未出现)和研究组(n=90,出现),对引起心血管事件的危险因素进行分析,并对药物治疗效果予以评价。结果研究组LDL-C、纤维蛋白原异常、糖尿病、高血压、遵医嘱等方面与参照组对比,差异具有统计学意义(P<0.05)。结论纤维蛋白原升高、基础疾病(高血压、糖尿病)、高龄(≥70岁)等是导致老年冠心病不良事件的高危因素,提高治疗依从性对预防不良事件具有重要意义。

Objective To analyze the risk factors of cardiovascular events in elderly patients with coronary heart disease（CHD） and the effect of drug treatment. Methods 150 cases of elderly patients with coronary heart disease treated in our hospital from July 2013 to August 2016 were selected as observation objects. They were divided into reference group（n=60, not present） and study group（n=90, appeared） according to the occurrence of cardiovascular events, to analyze the risk factors of cardiovascular events, and evaluate the effect of drug treatment. Results The study group LDL-C, fibrinogen abnormalities, diabetes, hypertension, compliance and other aspects of the reference group, the difference was statistically significant（P〈0.05）. Conclusion Fibrinogen, basic diseases（hypertension, diabetes） and elderly（over 70 years） are the high risk factors causing adverse events in elderly patients with coronary heart disease, it is of great significance to improve the compliance of treatment to prevent adverse events.