CAJ | 학술논문

目的：分析研究老年冠心病危险因素和冠状动脉病变特点。方法选择2010年1月至2013年12月期间我们医院行冠状动脉造影术378例老年患者，依据造影结果分为实验组（冠心病，178例）和对照组（非冠心病，200例），回顾性分析其临床资料。结果老年冠心病的危险因素为女性、家族史、高血压、高血脂和糖尿病。特点为：单支病变最高，为46.07%、其次为2支病变、3支病变。各分支中左前降支的受累率最高，为79.78%其次为右冠状动脉、回旋支。狭窄程度主要为中重度，且狭窄度无明显差异（P>0.05）。结论老年冠心病冠脉的病变程度以中重度为主，与性别、家族史、高血脂和糖尿病密切相关。
목적：분석연구노년관심병위험인소화관상동맥병변특점。방법선택2010년1월지2013년12월기간아문의원행관상동맥조영술378례노년환자，의거조영결과분위실험조（관심병，178례）화대조조（비관심병，200례），회고성분석기림상자료。결과노년관심병적위험인소위녀성、가족사、고혈압、고혈지화당뇨병。특점위：단지병변최고，위46.07%、기차위2지병변、3지병변。각분지중좌전강지적수루솔최고，위79.78%기차위우관상동맥、회선지。협착정도주요위중중도，차협착도무명현차이（P>0.05）。결론노년관심병관맥적병변정도이중중도위주，여성별、가족사、고혈지화당뇨병밀절상관。
objectives assessing risk factors and characteristics for coronary artery heart disease among elder individuals. Methods a total of 378 elderly individuals who underwent coronary angiography in our hospital from January,2010 and december,2013 were recruited.according to results of angiography,patients with coronary heart disease were assigned as experiment group (178 cases);without coronary heart disease were assigned as control group (200 cases).a retrospective assessment of clinical histories for both cases and controls was performed.Results the risk factors for coronary artery heart disease among elderly populations include female,family history,hypertension,high blood cholesterol level,and diabetes. among cases,single-vessel lesion was the most commonly observed (46.07%),followed by double-vessel lesion and triple-vessel lesion.transmission rate was highest among left anterior descending coronary artery,followed by right coronary artery,and circumflex artery.Most cases had moderate narrowness;there were no significant difference in narrowness either (P>0.05).Conclusion coronary artery heart diseases among elderly individuals were mostly with moderate symptoms and strongly associated with gender,family history,high blood cholesterol level and diabetes.