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目的:探讨青年冠心病患者临床危险因素。方法:比较青年冠心病组和正常组的临床资料和相关检查结果。结果:研究组在男性、高血压史、吸烟史、饮酒史、糖尿病史和遗传史所占比例均明显高于对照组,两组比较组间差异具有统计学意义(P<0.05);研究组患者的载脂蛋白a和高密度脂蛋白胆固醇水平明显低于对照组(P<0.05),研究组患者的甘油三酯TG、胆固醇tc、载脂蛋白B、低密度脂蛋白胆固醇水平、体重指标、心率、舒张压和收缩压均和对照组无差异性(P>0.05),研究组患者的尿酸和肌酐水平明显高于对照组(P<0.05)。结论:吸烟史、冠心病遗传史、饮酒史、糖尿病史、载脂蛋白a下降、高密度脂蛋白胆固醇下降、尿酸和肌酐升高是青年冠心病的危险因素。
Objective: To investigate the clinical risk factors in young patients with coronary heart disease. Methods: The clinical data of young patients with coronary heart disease and normal group were compared with the related test results. Results: The proportion of male patients, history of hypertension, smoking history, drinking history, history of diabetes and genetic history were significantly higher in the study group than in the control group. The difference between the two groups was statistically significant (P <0.05) The levels of apolipoprotein a and high density lipoprotein cholesterol in patients were significantly lower than those in control group (P <0.05). TG, cholesterol tc, apolipoprotein B, low density lipoprotein cholesterol, body mass index Heart rate, diastolic blood pressure and systolic blood pressure were all the same as the control group (P> 0.05). The uric acid and creatinine levels in the study group were significantly higher than those in the control group (P <0.05). Conclusion: Smoking history, history of coronary heart disease, history of alcohol consumption, history of diabetes, decreased apolipoprotein a, decreased high density lipoprotein cholesterol, elevated uric acid and creatinine are risk factors for young coronary heart disease.