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目的:探讨女性冠心病患者危险因素与冠状动脉病变的关系。方法:对100例临床拟诊为冠心病的女性患者行冠状动脉造影,对冠心病组(冠状动脉管腔狭窄≥50%)和非冠心病组(冠状动脉管腔狭窄<50%)的危险因素与冠状动脉病变的关系进行分析。结果:女性冠心病组年龄较大,糖尿病、血脂异常和高血压病患病率较非冠心病组高(均P<0.05),2组间抑郁状态比较差异无统计学意义(P>0.05);冠心病组和非冠心病组危险因素数量比较差异无统计学意义(P>0.05),冠心病组受累血管支数、血管狭窄程度与危险因素数目无相关性(P>0.05)。结论:女性冠心病与年龄、血脂异常、糖尿病和高血压病有关,危险因素的数目与冠状动脉病变程度无相关性。
Objective: To investigate the relationship between risk factors and coronary artery disease in female patients with coronary heart disease. Methods: The coronary angiography was performed in 100 female patients with clinically suspected coronary heart disease. The risk of coronary heart disease (coronary stenosis ≥50%) and non-coronary heart disease (coronary stenosis <50%) were evaluated Factors and coronary artery disease were analyzed. Results: The prevalence of diabetes, dyslipidemia and hypertension in the women with coronary heart disease was higher than those without coronary heart disease (all P <0.05). There was no significant difference in the depression between the two groups (P> 0.05) There was no significant difference in the number of risk factors between coronary heart disease and non-coronary heart disease (P> 0.05). There was no correlation between the number of involved vessels and the degree of vascular stenosis in coronary heart disease (P> 0.05). Conclusions: The prevalence of coronary heart disease in women is related to age, dyslipidemia, diabetes mellitus and hypertension. There is no correlation between the number of risk factors and the severity of coronary artery disease.