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目的分析冠心病的临床特点、危险因素及药物治疗对策。方法选取江苏省中医院心内科住院治疗的冠心病患者105例,回顾性分析患者的临床资料及临床用药情况。结果 105例中,年龄≥60岁89例(84.8%);临床表现为心功能不全、心绞痛、心肌梗死或冠状动脉综合征、心律失常;冠心病危险因素中,高血压83例,2型糖尿病29例,吸烟34例,高血脂35例;合并脑梗死30例。药物治疗包括针对冠心病、危险因素、合并症等的综合治疗。结论冠心病以老年患者居多,临床主要表现为典型或不典型心绞痛,其危险因素主要为高血压,其次为高脂血症和2型糖尿病;应采用综合性药物治疗。
Objective To analyze the clinical features, risk factors and drug treatment of coronary heart disease. Methods 105 cases of coronary heart disease hospitalized in Department of Cardiology of Jiangsu Provincial Hospital of Traditional Chinese Medicine were retrospectively analyzed. The clinical data and clinical medication were retrospectively analyzed. Results Among the 105 cases, 89 (84.8%) were older than 60 years old. The clinical manifestations were heart failure, angina pectoris, myocardial infarction or coronary syndrome, arrhythmia. Among the CHD risk factors, 83 were hypertension, 29 cases, 34 cases of smoking, hyperlipidemia in 35 cases; 30 cases of cerebral infarction. Medical treatment includes comprehensive treatment of coronary heart disease, risk factors, complications and so on. Conclusion The majority of coronary heart disease in elderly patients, the clinical manifestations of typical or atypical angina pectoris, the main risk factors for hypertension, followed by hyperlipidemia and type 2 diabetes; should adopt a comprehensive drug treatment.