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目的探讨绝经前女性冠心病的发病特点,减少误诊漏诊。方法以绝经前女性冠心病患者为研究对象,冠造正常的女性和绝经后冠心病女性作对照,进行分析。结果绝经前女性冠心病组较正常组高血压、心梗家族史常见(P<0.05),糖尿病、高血脂、吸烟无差别。绝经前冠心病组较绝经后组单支病变多见(P<0.05),心梗不少于绝经后组。结论绝经前女性冠心病患者合并高血压和早发冠心病家族史较多,其他动脉硬化危险因素不明显。冠造显示病变相对局限,心梗发生率较高,临床应重视此类人群。
Objective To investigate the incidence of coronary heart disease in premenopausal women and to reduce misdiagnosis and missed diagnosis. Methods Premenopausal women with coronary heart disease as the research object, the crown of normal women and postmenopausal women with coronary heart disease as a control, for analysis. Results Premenopausal women with coronary heart disease than normal control group, hypertension and family history of myocardial infarction are common (P <0.05), diabetes, hyperlipidemia, smoking no difference. Premenopausal patients with coronary heart disease than the single group after menopause lesions more common (P <0.05), myocardial infarction in not less than the postmenopausal group. Conclusion Premenopausal women with coronary heart disease with hypertension and premature coronary heart disease family history more risk factors for other atherosclerosis was not obvious. Crown made lesions show relatively limited, a higher incidence of myocardial infarction, clinical should pay attention to such people.