绝经前女性冠心病患者冠脉造影特点及危险因素调查

The investigatation of characteristics and risk factors of coronary angiography in premenopausal female patients with coronary heart disease

目的:分析绝经前女性冠心病患者冠脉造影特点及危险因素。方法:收治绝经前冠心病患者60例作观察组,并收治绝经后冠心病患者50例作对照组,同时收治60例无冠心病患者作参考组,分析患者冠脉造影特点及危险因素。结果:60例绝经前冠心病患者以单支病变为主,前降支病变91.7%;对照组多支病变发生率明显高于观察组(P<0.05),单支病变低于观察组(P<0.05)。观察组高血压、糖尿病、高脂血症发生率明显高于参考组(P<0.05)。年龄、肥胖、家族史等情况差异无统计学意义(P>0.05)。结论:绝经前女性冠心病患者冠脉病变复杂,多与高血压、糖尿病等因素有关,若患者无典型临床症状,应及早诊断,尽快明确。

Objective:To explore the characteristics and risk factors of coronary angiography in premenopausal female patients with coronary heart disease.Methods:60 premenopausal patients with coronary heart disease were selected as the observation group;50 postmenopausal patients with coronary heart disease were selected as the control group;60 patients without coronary heart disease were selected as the reference group.We analyzed the characteristics and risk factors of patients with coronary angiography.Results:In 60 premenopausal patients with coronary heart disease,single branch lesion was the main,and left anterior descending artery lesion was accounted for 91.7%.In the control group,the incidence of multivessel disease was significantly higher than the observation group(P<0.05),and single vessel disease was lower than that in the observation group(P<0.05).In the observation group,hypertension,diabetes,hyperlipidemia incidence was significantly higher than the reference group(P<0.05).There was no significant difference in age,obesity,family history(P>0.05).Conclusion:In premenopausal women with coronary heart disease,coronary artery disease is complex.It is associated with hypertension,diabetes and other factors.If the patient has no typical clinical symptoms,patients should be given early diagnosis,as soon as possible to clear the condition.