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目的:探讨和分析老年与中青年冠心病(CHD)患者的临床特点。方法:CHD患者中青年组30例,老年组50例。对两组冠脉病变、高血压、血糖与血脂、吸烟、家族史及其他因素(不良生活方式、高脂饮食、精神压力过大、劳累、缺乏运动等)进行分析。结果:中青年组甘油三酯(TG)、高密度胆固醇(HDL-C)水平明显高于老年组(P<0.05)。在两组相关因素比较中,中青年组高血脂、吸烟、不健康生活方式高于老年组(P<0.05)。冠脉造影,老年组多支病变明显高于中青年组,但闭塞病变中青年组明显高于老年组(P<0.05)。结论:CHD是多因素所致疾病,尤其在中青年患者中,吸烟、高TG及不良生活方式可能是使冠心病增加的因素之一。
Objective: To investigate and analyze the clinical features of elderly and middle-aged patients with coronary heart disease (CHD). Methods: 30 cases of CHD patients in young group, 50 cases of elderly group. Two groups of coronary lesions, hypertension, glucose and lipid, smoking, family history and other factors (poor life style, high-fat diet, over-stress, fatigue, lack of exercise, etc.) were analyzed. Results: The levels of triglyceride (TG) and high density cholesterol (HDL-C) in middle-aged and young group were significantly higher than those in the elderly group (P <0.05). Among the two groups, the hyperlipidemia, smoking and unhealthy lifestyle in middle-aged and young people were higher than those in the elderly group (P <0.05). Coronary angiography, multi-vessel disease in the elderly group was significantly higher than the young group, but occlusion lesions in young group was significantly higher than the elderly group (P <0.05). Conclusion: CHD is a multifactorial disease, especially among middle-aged and young patients. Smoking, high TG and unhealthy lifestyles may be one of the factors to increase coronary heart disease.