青年人冠心病危险因素及护理要点分析

Analysis of the Risk Factors and Nursing Points for Young Patients with Coronary Heart Disease

目的探讨并分析关于青年人冠心病的危险因素,并以此为基准找到有效的护理方法。方法随机选取该院2012年11月—2014年10月期间收治的80例经冠状动脉造影确诊为冠心病的青年及老年患者为研究对象,根据患者年龄的不同将80例患者分为老年组(≥60岁)50例和青年组(≤40岁)30例。结果通过对两组患者冠心病患者的分析,我们总结出青年组冠心病家族史(64.29%)、肥胖(60.71%)、高脂血症(57.14%)和吸烟习惯(92.86%)明显高于老年组的15.38%、25%、32.69%、57.69%,组间相对应比较,差异有统计学意义(P<0.05),而老年患者中糖尿(30.77%)和高血压(71.15%)则明显多于青年组14.29%,32.14%;结论相比于老年冠心病患者而言,青年冠心病患者的发病率相对较低且发病具有一定的特殊性,能够有效的控制青年人群冠心病的发病率。

Objective To discuss and analyze the risk factors of coronary heart disease(CHD) in young people so as to find an effective nursing method. Methods Eighty young and old people confirmedly diagnosed with CHD by coronary angiography admitted in our hospital from November 2012 to October 2014 were selected as the subjects and divided into senior group(50 cases aged 60 years or more) and young group(30 cases aged 40 years or less) in accordance with the age. Results The analysis of the two groups with CHD showed that, compared with the senior group, the young group had significantly higher proportion of patients with the family history of CHD(64.29% vs 15.38%), obesity(60.71% vs 25%), hyperlipidemia(57.14% vs 32.69%) and smoking habits(92.86% vs 57.69%), with statistically significant differences between the two groups(P<0.05). The senior group had much higher proportion of patients with diabetes(30.77% vs 14.29%) and hypertension(71.15% vs 32.14%). Conclusion Compared to the elderly patients with CHD, the incidence of CHD in young people is relatively lower with certain particularity, and it can be effectively controlled.