中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
16期
6-7,10
,共3页
体检中心%冠心病%危险因素
體檢中心%冠心病%危險因素
체검중심%관심병%위험인소
Medical Examination Center%Coronary heart disease%Risk factors
目的：探究体检中心冠心病患者的冠状动脉的严重程度与冠心病的危险因素。方法整群选择2010年1月-2014年6月来该体检中心进行体检的280例冠心病患者，同时选取冠状动脉样硬化狭窄程度<50%的患者50例为对照组，对280例患者的冠状动脉的病变程度与患者的日常生活习惯及生理状况进行分析，采用Cemini积分来进行评定，分析与冠心病的危险因素存在的相关关系。结果患者的冠状动脉的病变程度与患者的年龄、是否有糖尿病、吸烟习惯、血脂异常及患者体质量指数的增长存在正相关的关系；冠心病组患者的男性、2型糖尿病、吸烟、高敏C-反应蛋白均高于对照组差异有统计学意义(P<0.05)，而左心室射血分数、肌酐清除率水平、家族史构成比均低于对照组，差异有统计学意义(P<0.01)。结论冠心病患者多发于老年患者，若患者有吸烟习惯或伴随有糖尿病、血脂异常等相关疾病，可导致患者的冠状动脉病变更为严重，体检中心可指导该类患者的在康复治疗过程中养成良好的日常生活意识习惯，控制血糖、血脂水平，对于患者的治疗和预后有着重要的意义。
目的：探究體檢中心冠心病患者的冠狀動脈的嚴重程度與冠心病的危險因素。方法整群選擇2010年1月-2014年6月來該體檢中心進行體檢的280例冠心病患者，同時選取冠狀動脈樣硬化狹窄程度<50%的患者50例為對照組，對280例患者的冠狀動脈的病變程度與患者的日常生活習慣及生理狀況進行分析，採用Cemini積分來進行評定，分析與冠心病的危險因素存在的相關關繫。結果患者的冠狀動脈的病變程度與患者的年齡、是否有糖尿病、吸煙習慣、血脂異常及患者體質量指數的增長存在正相關的關繫；冠心病組患者的男性、2型糖尿病、吸煙、高敏C-反應蛋白均高于對照組差異有統計學意義(P<0.05)，而左心室射血分數、肌酐清除率水平、傢族史構成比均低于對照組，差異有統計學意義(P<0.01)。結論冠心病患者多髮于老年患者，若患者有吸煙習慣或伴隨有糖尿病、血脂異常等相關疾病，可導緻患者的冠狀動脈病變更為嚴重，體檢中心可指導該類患者的在康複治療過程中養成良好的日常生活意識習慣，控製血糖、血脂水平，對于患者的治療和預後有著重要的意義。
목적：탐구체검중심관심병환자적관상동맥적엄중정도여관심병적위험인소。방법정군선택2010년1월-2014년6월래해체검중심진행체검적280례관심병환자，동시선취관상동맥양경화협착정도<50%적환자50례위대조조，대280례환자적관상동맥적병변정도여환자적일상생활습관급생리상황진행분석，채용Cemini적분래진행평정，분석여관심병적위험인소존재적상관관계。결과환자적관상동맥적병변정도여환자적년령、시부유당뇨병、흡연습관、혈지이상급환자체질량지수적증장존재정상관적관계；관심병조환자적남성、2형당뇨병、흡연、고민C-반응단백균고우대조조차이유통계학의의(P<0.05)，이좌심실사혈분수、기항청제솔수평、가족사구성비균저우대조조，차이유통계학의의(P<0.01)。결론관심병환자다발우노년환자，약환자유흡연습관혹반수유당뇨병、혈지이상등상관질병，가도치환자적관상동맥병변경위엄중，체검중심가지도해류환자적재강복치료과정중양성량호적일상생활의식습관，공제혈당、혈지수평，대우환자적치료화예후유착중요적의의。
Objective To explore the correlation between the severity of coronary artery disease and the risk factors of the disease. Methods 280 cases with coronary heart disease underwent physical examination in the Medical Examination Center of our hospital from January 2010 to June 2014 were selected. And other 50 cases with coronary artery atherosclerosis stenosis<50%were select-ed as the control group. The severity of coronary heart disease and the daily habits and physical condition of the 280 cases with coronary heart disease were analyzed, and Cemini integral was used for assessing and analyzing the correlation between the severi-ty of coronary heart disease and the risk factors of the disease. Results The severity of coronary artery disease had positive corre-lation with age, diabetes, smoking, dyslipidemia and the increase of body mass index. Compared with the control group, in the coronary artery disease group, there were more males, more type 2 diabetic patients, more patients with smoking habit, and the coronary artery disease group had higher level of sensitive C reactive protein(P<0.05). The coronary artery disease group had lower left ventricular ejection fraction and creatinine clearance rate and less proportion of patients with family history of coronary artery disease with statistically significant difference (P<0.01). Conclusion Coronary heart disease mainly occurs in elderly patients, and the disease will be more severe if the patients smoke or have diabetes, dyslipidemia and other relative diseases. The staff in the Medical Examination Center can guide the patients developing good daily habits and controlling the level of blood glucose and blood lipid, which is of great significance for the treatment and prognosis.
