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目的:比较不同年龄组接受冠状动脉介入治疗(PCI)的冠心病住院患者的临床特点,为加强冠心病的一级预防和二级预防提供依据。方法:收集2005年6月至2008年6月在安贞医院心脏内科接受PCI治疗的1428例冠心病患者住院期间的临床资料,对不同年龄组血压、血脂、血糖及吸烟等传统危险因素的合并及控制情况进行比较,并对住院期间的药物治疗情况进行分析和比较。结果:1.60岁以下的青、中年患者占47.7%;在接受PCI治疗的患者中女性在青、中年年龄组中的比例显著低于老年前期及老年组。2.各年龄组患者入院时有血脂异常和糖尿病的比例均较低,而合并高血压的比例较高。3.青年(45岁以下)、中年(45～59岁)、老年前期(60～74岁)和老年(75～89岁)各年龄组患者入院时有高血压、糖尿病的比例随着年龄的增加而增加,而吸烟、饮酒等不良生活习惯的患者比例随着年龄的增加而减少。4.各年龄组患者入院时血压、血糖及血清胆固醇的控制状况均较差。结论:目前住院接受PCI治疗的患者中,青、中年患者占了近50%,并且大部分患者血压、血糖和血清胆固醇均在正常范围,因此,在冠心病的一级预防和二级预防中除了控制传统的危险因素外,还应研究和预防其它心血管病发病的危险因素。
Objective: To compare the clinical characteristics of hospitalized patients with coronary heart disease undergoing coronary artery intervention (PCI) in different age groups and provide evidences for primary prevention and secondary prevention of coronary heart disease. Methods: The clinical data of 1428 CHD patients receiving PCI in the Department of Cardiology of Ahn Jung Hospital from June 2005 to June 2008 were collected during hospitalization. The combined effects of traditional risk factors such as blood pressure, blood lipid, blood sugar and smoking among different age groups And control of the situation were compared, and during hospitalization for drug treatment analysis and comparison. Results: 1. The young and middle-aged patients under the age of 60 accounted for 47.7%. The proportion of female patients in the middle-aged and younger age groups was significantly lower than that in the pre-senile and the aged patients in the PCI group. 2. The incidence of dyslipidemia and diabetes in all age groups was lower while the proportion of patients with hypertension was higher. 3. Hypertension and diabetes mellitus occur at admission in youth (under 45 years), middle age (45-59 years), pre-senile (60-74 years) and old (75-89 years) Of the increase in the increase, while smoking, drinking and other unhealthy habits, the proportion of patients with increasing age decreased. 4. All age groups admitted to hospital blood pressure, blood glucose and serum cholesterol control are poor. Conclusion: Among the hospitalized PCI patients, nearly 50% of young and middle-aged patients account for most of the patients’ blood pressure, blood glucose and serum cholesterol. Therefore, primary and secondary prevention of coronary heart disease In addition to controlling the traditional risk factors, but also research and prevention of other cardiovascular risk factors.