中老年冠心病多重危险因素临床分析

Analysis of multiple risk factors in middle-aged patients with coronary artery disease

目的 观察中老年国人冠心病多重危险因素中各种因素所占比重。方法 顺序入选 16 2例 (男 12 4 ,女38)冠脉造影检查患者 ,采用LOGISTIC法分析年龄、性别、吸烟史、家族史、血压、脉压 (PP)、血糖 (Glu)、血胆固醇 (TC)和甘油三酯 (TG)等危险因素与冠脉狭窄病变之间的关系。结果 性别、年龄、吸烟、舒张压 (DBP)、PP、Glu、TC与冠心病有显著相关性 ,其中以性别、年龄、Glu、DBP和PP影响较大。结论 冠心病的危险因素控制 ,除血糖、血脂和戒烟外 。

Objectives To study the risk ratio of each coronary artery disease (CAD) risk factor. Methods From Jan 2000 to June 2002, 162 consecutive patients (male 124, female 38) who underwent percutaneous coronary angiography (CAG) were stu died. The relations between CAG and risk factors, such as sex, age, history of smoking and family, plasma glucose (Glu), total cholesteral (TC), triglyceride (TG), systolic blood pressure (SBP), diastolic blood pressure (DBP) and pulse pressure (PP), were assessed by Logistic regression analysis. Results Sex, Glu, age, DBP, PP, smoking and TC were significantlyrelated with CAG ( χ 2=21 461, P < 0 003 2 ). Among them, Glu, DBP and PP were more important.Conclusions In the management of CAD multiple risk factors, preventing hypo DBP and Large PP is very important as well as the management of Glu, TC and stoping smoking.