西部某部队医院10年间军人冠心病介入特征分析

Analysis of intervention characteristics of military patients with coronary heart disease in western military hospital in 10 years

目的:分析我院10年间行冠状动脉造影的冠心病患者的特征,以了解西部基层官兵冠心病的变化。方法:我院行冠状动脉造影军人患者487例,按时间分为2003-11~2008-10组(A组)和2008-11~2013-11组(B组),分析两组的一般情况、生化指标、靶器官损害、冠状动脉病变情况及介入术后随访的差异。结果:1A组年龄显著高于B组;吸烟率显著低于B组(P<0.05或P<0.01)。A组的低密度脂蛋白、甘油三酯和空腹血糖显著高于B组(P<0.01)。2A组的高敏C反应蛋白、尿微量白蛋白、颈动脉内膜-中膜厚度、斑块指数和颈动脉斑块检出率显著低于B组(P<0.05或P<0.01)。3A组的复杂冠状动脉病变发生率显著低于B组(P<0.01);介入术后心绞痛症状好转率显著低于B组(P<0.05)。结论:近年来部队行冠脉造影患者年龄更小,吸烟率更高,靶器官损害更重,复杂冠状动脉病变发生率更高,代谢异常没有以前明显,但术后心绞痛症状好转率更高。

Objective：To observe the characteristics of coronary angiography of coronary heart disease（CHD）patients in our hospital in the past ten years.Methods：According to the time,487 army patients with coronary angiography were divided into two groups：2003-11~2008-10 year group（group A）and 2008-11~2013-11 year group（group B）.General situation,biochemical character,target organ damage,the coronary artery lesion and postoperative follow-up were investigated.Results：1group A had a significantly higher age than group B and smoking rates in group A were significantly below than group B（P〈0.05 or P〈0.01）.Low density lipoprotein cholesterol（LDL）,triglyceride（TG）and fasting blood glucose（FBG）in group A were significantly higher than group B（P 0.01）.2High-sensitivity C-reaction protein（HS-CRP）,microalbuminuria（MAU）,carotid intima-media thickness（IMT）,plaque index of carotid and the incidence rate of carotid plaque in group A were significantly lower than group B（P〈0.05 or P〈0.01）.3The incidence of complex coronary artery lesions in group A were significantly lower than group B（P〈0.01）.The improvement rate of angina in group A were significantly lower than group B（P〈0.05）.Conclusion：Compared to group A,group B had a lower age,a more serious smoking rate,target organ damage,and the incidence of complex coronary artery lesions,but a better improvement rate of angina after PCI.