中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
1期
51-53
,共3页
冠心病%冠状动脉造影%围绝经期
冠心病%冠狀動脈造影%圍絕經期
관심병%관상동맥조영%위절경기
Coronary heart disease%Coronary angiography%Perimenopause
目的 探讨围绝经期女性冠心病患者的临床症状、危险因素及冠状动脉造影特点.方法 选取2006年1月至2011年6月在郑州大学第一附属医院行冠状动脉造影证实为冠心病女性患者42例,选择本院同期行冠状动脉造影证实为冠心病的55岁以下的男性患者64例作为对照组.比较两组患者临床症状、危险因素及其冠状动脉造影的特点.结果 围绝经期女性冠心病患者不典型胸痛发生率高于男性组；围绝经期女性冠心病ST段抬高型心肌梗死、血脂异常和吸烟史比例均低于男性组；高血压、糖尿病、冠心病家族史及高尿酸血症两组比较差异无统计学意义(P＞0.05).围绝经期女性冠心病以单支冠状动脉病变为主,前降支病变比例高于男性组,右冠状动脉病变比例低于男性组.结论 围绝经期女性冠心病患者的临床症状不典型,以单支血管病变为主,主要是累及左前降支,男性组危险因素较多,冠状动脉病变较重.
目的 探討圍絕經期女性冠心病患者的臨床癥狀、危險因素及冠狀動脈造影特點.方法 選取2006年1月至2011年6月在鄭州大學第一附屬醫院行冠狀動脈造影證實為冠心病女性患者42例,選擇本院同期行冠狀動脈造影證實為冠心病的55歲以下的男性患者64例作為對照組.比較兩組患者臨床癥狀、危險因素及其冠狀動脈造影的特點.結果 圍絕經期女性冠心病患者不典型胸痛髮生率高于男性組；圍絕經期女性冠心病ST段抬高型心肌梗死、血脂異常和吸煙史比例均低于男性組；高血壓、糖尿病、冠心病傢族史及高尿痠血癥兩組比較差異無統計學意義(P＞0.05).圍絕經期女性冠心病以單支冠狀動脈病變為主,前降支病變比例高于男性組,右冠狀動脈病變比例低于男性組.結論 圍絕經期女性冠心病患者的臨床癥狀不典型,以單支血管病變為主,主要是纍及左前降支,男性組危險因素較多,冠狀動脈病變較重.
목적 탐토위절경기녀성관심병환자적림상증상、위험인소급관상동맥조영특점.방법 선취2006년1월지2011년6월재정주대학제일부속의원행관상동맥조영증실위관심병녀성환자42례,선택본원동기행관상동맥조영증실위관심병적55세이하적남성환자64례작위대조조.비교량조환자림상증상、위험인소급기관상동맥조영적특점.결과 위절경기녀성관심병환자불전형흉통발생솔고우남성조；위절경기녀성관심병ST단태고형심기경사、혈지이상화흡연사비례균저우남성조；고혈압、당뇨병、관심병가족사급고뇨산혈증량조비교차이무통계학의의(P＞0.05).위절경기녀성관심병이단지관상동맥병변위주,전강지병변비례고우남성조,우관상동맥병변비례저우남성조.결론 위절경기녀성관심병환자적림상증상불전형,이단지혈관병변위주,주요시루급좌전강지,남성조위험인소교다,관상동맥병변교중.
Objective To investigate,the clinical features,major risk factors and characteristics of coronary angiography in perimenopause women patients with coronary heart disease.Methods Fortytwo female patients who underwent coronary angiography confirmed coronary heart disease from January 2006 to June 2011 in the first hospital of zhengzhou university,meanwhile,chosen 64 male patients over the same period underwent coronary angiography confirmed coronary heart disease as the control group.Compared the clinical symptoms,risk factors and characteristics of coronary angiography.Results The incidence of atypical chest pain in perimenopause women was significantly higher than the male group.Perimenopausal women with coronary heart ST-segment elevation myocardial infarction,dyslipidemia,and proportion of the smoking was lower than the male group.There was no significantly difference in the incidence rate of hypertension,diabetes,CHD family history and hyperuricemia(P ＞0.05).The incidence of single-vessel in perimenopause women was significantly higher than in male group.Left anterior descending artery lesion was higher than the male group,the right coronary artery lesions was less than male group.Conclusions The clinical symptoms is not typical and vessel lesions are more likely to be found at left anterior descending in perimenopausal women.Male group has more risk factors and severe coronary vessel lesions.
