论文部分内容阅读
目的分析老年女性冠心病患者的危险因素与冠状动脉造影结果的关系,提高对老年女性冠心病的诊断准确率。方法对732例临床拟诊为冠心病、≥60岁老年女性患者行冠状动脉造影,对冠心病组(冠状动脉管腔狭窄≥50%)和非冠心病组(冠状动脉管腔狭窄<50%)的临床特点、危险因素及其与冠状动脉病变的关系进行分析。结果老年女性冠心病组年龄较大,糖尿病、血脂异常发病率较高(P均<0.01);常有典型心绞痈症状、伴特异性ST-T变化较多。但2组高血压无差异(P>0.05)。CHD组和非CHD组危险因素数量比较无差异,CHD组中受累血管支数、血管狭窄程度与危险因素数目也无关联(P>0.05)。结论老年女性冠心病与年龄、血脂异常和糖尿病有关,但临床诊断时不应过分强调片面几个危险因素的数目,应重视临床症状,及时行冠状动脉造影以提高老年女性冠心病的诊断正确率。
Objective To analyze the relationship between the risk factors of coronary heart disease and results of coronary angiography in elderly women and to improve the diagnostic accuracy of coronary heart disease in elderly women. Methods Coronary angiography was performed in 732 patients with clinically diagnosed coronary heart disease and elderly women ≥60 years of age. The coronary heart disease (coronary stenosis ≥50%) and non-coronary heart disease (coronary stenosis <50% ) Clinical features, risk factors and their relationship with coronary lesions were analyzed. Results Elderly women with coronary heart disease were older, with higher prevalence of diabetes and dyslipidemia (all P <0.01). They often had typical symptoms of myocardial infarction with more changes of ST-T. But no difference between the two groups of hypertension (P> 0.05). There was no difference in the number of risk factors between CHD group and non-CHD group. There was no correlation between the number of vessel involvement and vessel stenosis in CHD group and the number of risk factors (P> 0.05). Conclusion The elderly women with coronary heart disease and age, dyslipidemia and diabetes, but the clinical diagnosis should not be too much emphasis on the number of several risk factors should pay attention to clinical symptoms, timely coronary angiography to improve the diagnostic accuracy of coronary heart disease in elderly women .