CAJ | 학술논문

目的：探讨青年人患冠心病的原因,为早期冠心病的防治提供参考。方法选择2009年5月—2012年5月行冠脉搭桥手术的患者437例,其中青年组(年龄<45岁)患者51例,老年组(年龄≥65岁)患者386例。比较两组患者的家族史、血脂、血压、心功能、术后感染、肝肾功能、术后并发症等指标并进行分析。结果青年组中阳性家族史、吸烟、肥胖、血脂紊乱、心功能、心绞痛分级、术后血糖、并发症等与老年组比较,差异均有统计学意义(P<0.05)；青年组中急性心肌梗死占33.3%,陈旧性心肌梗死占7.8%,老年组分别占18.1%,20.7%,差异有统计学意义(χ2值分别为2.15,2.16；P<0.05)。结论青年冠心病危险因素主要为男性、有家族史、吸烟、体重超重、高血压,术后比老年患者恢复更快；早期行手术治疗,对防止冠心病的发生及延缓病情进展有利。
목적：탐토청년인환관심병적원인,위조기관심병적방치제공삼고。방법선택2009년5월—2012년5월행관맥탑교수술적환자437례,기중청년조(년령<45세)환자51례,노년조(년령≥65세)환자386례。비교량조환자적가족사、혈지、혈압、심공능、술후감염、간신공능、술후병발증등지표병진행분석。결과청년조중양성가족사、흡연、비반、혈지문란、심공능、심교통분급、술후혈당、병발증등여노년조비교,차이균유통계학의의(P<0.05)；청년조중급성심기경사점33.3%,진구성심기경사점7.8%,노년조분별점18.1%,20.7%,차이유통계학의의(χ2치분별위2.15,2.16；P<0.05)。결론청년관심병위험인소주요위남성、유가족사、흡연、체중초중、고혈압,술후비노년환자회복경쾌；조기행수술치료,대방지관심병적발생급연완병정진전유리。
Objective To explore the risk factors of young patients with coronary heart disease ( CHD) , and the differences between the young patients and the elderly patients to provide a reference for the prevention of early CHD. Methods We retrospectively analyzed 437 cases of patients who came our hospital and had coronary artery bypass surgery from May 2009 to May 2012. The age of young people was less than 45 years wold patients (51 cases), and elderly patients (age greater than or equal to 65 years of age) were 386 cases. We compared and analyzed the indicators of the family history, lipid profile, blood glucose, blood pressure, heart function, postoperative infections, liver and kidney function, postoperative complications, between two groups of patients. Results Compared with the older patients, there were differences on the positive family history, smoking, obesity, dyslipidemia, cardiac function, angina classification, blood sugar, complications in young group (P<0. 05). Acute myocardial infarction was 33. 3% in young people, but it was 18. 1% in elderly patients (χ2 =2. 15,P<0. 05), old myocardial infarction was 7. 8% in young people, but it was 20. 7% in elderly patients (χ2 =2. 16,P<0. 05). Conclusions The major risk factors for CHD of young men are family history, smoking, being overweight, low HDL, high blood pressure, and the young patients would recovery faster than older patients after surgery. Early surgical treatment could prevent the occurrence of CHD and delay the progress.