论文部分内容阅读
目的研究冠心病患者冠状动脉病变程度的影响因素。方法选取河东区大直沽街社区卫生服务中心2014年8月-2016年8月收治冠心病患者80例作为研究对象,采用改良Gensini评分评估患者冠状动脉狭窄程度,比较病变轻重患者资料,分析冠状动脉病变程度的影响因素。结果其中冠状动脉病变较轻者34例(42.5%),病变较重者46例(57.5%)。其中病变较轻者与病变较重者在性别、年龄、糖尿病、高血压、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDLC)及总胆红素(TBIL)水平,差异均有统计学意义(P<0.05)。经Logistic回归方程计算发现性别、年龄、糖尿病、高血压、HDL-C、LDL-C以及TBIL水平均是冠状动脉病变程度的影响因素。结论冠心病患者冠状动脉病变程度的影响因素较多,针对性对不同患者进行干预,可有效降低冠状动脉病变程度,有效抑制冠心病的发展。
Objective To study the influencing factors of coronary lesion in patients with coronary heart disease. Methods A total of 80 patients with coronary heart disease were enrolled in this study from August 2014 to August 2016 in Dagogu Street Community Health Service Center, Hedong District. The severity of coronary artery stenosis was evaluated by modified Gensini score. Factors affecting the degree of arterial disease. Results Among them, 34 cases (42.5%) had lesser coronary lesion and 46 cases (57.5%) had severe lesion. Among the patients with lesser lesions and severe lesions, there were significant differences in gender, age, diabetes, high blood pressure, low density lipoprotein (LDL-C), high density lipoprotein (HDLC) and total bilirubin (TBIL) Statistical significance (P <0.05). Logistic regression equation was used to calculate the gender, age, diabetes, hypertension, HDL-C, LDL-C and TBIL levels were the influencing factors of the degree of coronary artery lesions. Conclusion There are many influencing factors on the degree of coronary artery lesion in patients with coronary heart disease. Targeted intervention in different patients can effectively reduce the degree of coronary artery disease and effectively inhibit the development of coronary heart disease.