急性冠脉综合征首发年龄与既往疾病相关性分析

Correlative Analysis of the Onset Age of Acute Coronary Syndrome with Previous Diseases

目的探讨既往疾病与急性冠脉综合征(ACS)的首发年龄相关性研究.方法选取2014年6月至2016年6月在内蒙古自治区人民医院急诊科首诊的ACS患者300例,进行年龄、既往吸烟史、肥胖史、高血压史、糖尿病史调查登记,进行统计学分析.结果暴露于吸烟、肥胖、高血压病、糖尿病等某一危险因素的患者,ACS平均首发病龄较未暴露该因素的其他ACS提前,差异有统计学意义(P<0.05);暴露于两种或两种以上危险因素的ACS平均首发年龄较暴露于一种或无危险因素提前,差异有统计学意义(P<0.05).结论既往吸烟、肥胖、糖尿病、高血压是ACS的高危因素,可能使ACS患者首发年龄明显提前,且合并上述因素越多,ACS患者首发年龄越容易提前.早期控制吸烟、肥胖、糖尿病、高血压,对预防ACS尤为重要.

Objective To investigate the correlation between the age of onset and acute coronary syndrome(ACS).Methods A total of300patients with ACS diagnosed in our hospital from June2014to June2016were selected in this study.Their age,history of smoking,history of obesity,history of hypertension and history of diabetes were recorded and analyzed statistically.Results The results showed that the average age of onset of ACS was higher than that of other ACS patients without exposure to smoking,obesity,hypertension,diabetes and other risk factors,the differences was statically significant(P<0.05).The mean age at onset of ACS,when exposed to two or more risk factors,was earlier than that of exposure to one or no risk factors,the differences was statically significant(P<0.05).Conclusions Smoking,obesity,diabetes and hypertension are risk factors of ACS,and the onset age of patients with ACS may be moved up significantly.Combined with the more factors above,the patients with ACS are more likely to advance the age of onset.Early control of smoking,obesity,diabetes,high blood pressure,is particularly important to the prevention of ACS.