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目的:探讨病程小于6个月的冠心病患者的临床及冠状动脉造影特点。方法:将我院心内二科2007-07-2009-07期间就诊的200例经冠状动脉造影确诊的冠心病患者根据病程长短分为病程小于6个月组(观察组)和病程大于6个月组(对照组),对2组患者一般资料、血生化指标及冠状动脉造影结果进行回顾性分析。结果:2组患者均以男性为主;观察组以中青年为主,以单支病变为主,而对照组以老年为主,以多支病变较多,差异有统计学意义(P<0·05);观察组回旋支和右冠状动脉病变构成比明显低于对照组(P<0·05)。结论:病程小于6个月的冠心病组以中青年男性为主,以单支病变为主,对其早期防治有重要意义。
Objective: To investigate the clinical and coronary angiographic characteristics of patients with coronary heart disease less than 6 months duration. Methods: 200 cases of coronary heart disease diagnosed by coronary angiography were divided into two groups according to the course of the disease: the duration of disease was less than 6 months (observation group) and the duration of disease was more than 6 Month group (control group). The general data, blood biochemistry indexes and coronary angiography results of two groups were retrospectively analyzed. Results: The two groups were predominantly male. The observation group was predominantly young and middle-aged with single-vessel disease, while the control group was predominantly elderly with multiple-vessel disease, the difference was statistically significant (P <0 · 05). The constituent ratio of the circumflex artery and right coronary artery in the observation group was significantly lower than that in the control group (P <0.05). Conclusion: Coronary heart disease group whose duration of disease is less than 6 months is predominantly young and middle-aged, with single-vessel disease predominant, which is of great importance to its early prevention and treatment.