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目的探讨老年男性和女性急性冠脉综合征(ACS)的危险因素。方法选择我院2002年1月至2006年12月收治的≥60岁ACS患者162例,分为男女两组,对比分析其住院病死率、ACS类型及其危险因素。结果ACS三种类型发生率、脑血管病史、肥胖等差异无统计学意义(P>0.05),年龄女性比男性大,老年女性患者住院病死率、高血脂、糖尿病各项指标均较男性组高。高血压病史老年女性明显多于男性(P<0.05)。老年男性既往AMI史、吸烟史高于女性(P<0.05或0.01)。结论老年女性ACS危险因素明显多于男性,ACS的预后女性较男性差。
Objective To explore the risk factors of acute coronary syndrome (ACS) in elderly men and women. Methods A total of 162 ACS patients aged 60 to 60 years who were admitted to our hospital from January 2002 to December 2006 were divided into male and female groups. The hospital mortality, ACS types and their risk factors were analyzed. Results The incidence of three types of ACS, cerebrovascular disease history, obesity and other differences was not statistically significant (P> 0.05), older women than men, elderly women in-hospital mortality, hyperlipidemia, all indicators of diabetes than men . Hypertensive history of older women was significantly more than men (P <0.05). Older men had a history of previous AMI and had a higher smoking history than women (P <0.05 or 0.01). Conclusions The risk factors for ACS in elderly women are significantly more than those in men. The prognosis of ACS women is worse than that of men.