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目的:探索冠心病危险因素在女性早发冠心病临床诊断中的价值。方法:选取我院2014年6月至2015年6月间收治的300例因胸闷胸痛入院就诊的女性患者作为研究对象。采取回顾性分析的方法,对其临床资料,包括病历资料、既往病史、临床症状、生活习惯、家庭病史等进行分析,并在此基础上给予300例患者冠状动脉造影术,以此为临床诊断提供依据。探索女性早发冠心病与冠心病危险因素之间的联系。结果:经统计发现,冠状动脉造影术诊断发现300例女性患者中共有201位患者为早发冠心病,发病率达到67%。其中危险因素的影响程度略有不同,高血脂、和肥胖是最为突出的危险因素,阳性比例分别为79.3%和82.5%,其次依次为吸烟史、高血压、糖尿病、家族遗传史。此外按照相关危险因素数量与女性早发冠心病的关系分析,合并3个以上危险因素对早发冠心病的发病具有非常突出的影响。结论:积极探索冠心病危险因素有助于提高女性早发冠心病的临床诊断效率,为临床诊断提供更加准确的依据。
Objective: To explore the value of coronary heart disease risk factors in the diagnosis of premature coronary heart disease in women. Methods: A total of 300 female patients admitted to our hospital from June 2014 to June 2015 were selected as study subjects. To retrospectively analyze the clinical data, including medical records, past medical history, clinical symptoms, lifestyle, family history and other analysis, and on this basis to give 300 patients with coronary angiography, as a clinical diagnosis Provide evidence. Explore the link between women with premature coronary heart disease and risk factors of coronary heart disease. Results: The statistics found that coronary angiography diagnosis of 300 cases of women found that a total of 201 patients with premature coronary heart disease, the incidence rate of 67%. The impact of risk factors was slightly different. Hyperlipidemia and obesity were the most prominent risk factors. The positive rates were 79.3% and 82.5% respectively, followed by smoking history, hypertension, diabetes and family history. In addition, according to the relationship between the number of risk factors and premature coronary heart disease in women, the combination of more than 3 risk factors has a very prominent impact on the incidence of premature coronary heart disease. Conclusion: Active exploration of risk factors of coronary heart disease can help to improve the clinical diagnostic efficiency of premature coronary heart disease in women and provide a more accurate basis for clinical diagnosis.