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[1]金梅花,张波涛,张 辉,等.宁夏地区早发冠心病患者危险因素及冠状动脉病变特点[J].宁夏医科大学学报,2018,(06):706-708.[doi:10.16050/j.cnki.issn1674-6309.2018.06.022]
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宁夏地区早发冠心病患者危险因素及冠状动脉病变特点(PDF)
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2018年06期
页码:
706-708
栏目:
经验交流
出版日期:
2018-06-30

文章信息/Info

Title:
-
作者:
金梅花1 张波涛2 张 辉1 孙红茜1
(1. 宁夏医科大学总医院心血管内科,银川 750004; 2. 宁夏医科大学总医院心脑血管病医院,银川 750002)
Author(s):
-
关键词:
早发冠心病危险因素冠状病变特点宁夏
Keywords:
-
分类号:
R541.4
DOI:
10.16050/j.cnki.issn1674-6309.2018.06.022
文献标志码:
B
摘要:
目的 研究早发冠心病患者危险因素差异及其冠状动脉病变特点。方法 选择760例收住宁夏医科大学总院经冠状动脉造影确诊的冠心病患者。根据年龄分为早发冠心病组596例(PCAD组,回族269例、汉族327例)和非早发冠心病组164例(非PCAD组,回族 95例、汉族69例)。对比分析不同民族冠心病的危险因素及冠状动脉病变特点。结果 回族PCAD组早发冠心病家族史、高血压、吸烟、TC水平均高于非PCAD组(P均<0.05);汉族PCAD组早发冠心病家族史、尿酸增高、WBC升高均高于非PCAD组(P均<0.05)。回族PCAD组糖尿病检出率高于汉族PCAD组(P均<0.05)。Logistic 回归分析结果显示高血压(95%CI:1.89~10.27,OR=3.45)、吸烟(95%CI:1.76~5.36,OR=2.62)、高TG(95%CI:0.66~6.02,OR=1.02)为回族早发冠心病主要危险因素。早发冠心病家族史(95%CI:0.45~3.28,OR=1.28)、尿酸升高(95%CI:0.39~2.62,OR=1.0)为汉族早发冠心病危险因素。汉族早发冠心病组冠状动脉病变以单支病变为主(52.29%),回族早发冠心病组冠状动脉病变以多支病变为主(53.20%)。结论 高血压、吸烟及高TG为回族早发冠心病主要危险因素,冠状动脉病变以多支病变为主。早发冠心病家族史、尿酸升高为汉族早发冠心病危险因素,冠状动脉病变以单支病变为主。
Abstract:
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备注/Memo

备注/Memo:
收稿日期:2018-01-07
作者简介:金梅花(1979-),女,硕士,主治医生,研究方向:冠心病。 E-mail:jmh2005111@126.com
更新日期/Last Update: 2018-06-30