实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
2015年
10期
96-98
,共3页
冠心病%冠状血管造影术%影响因素分析%采煤%人群监测
冠心病%冠狀血管造影術%影響因素分析%採煤%人群鑑測
관심병%관상혈관조영술%영향인소분석%채매%인군감측
Coronary disease%Coronary angiography%Root cause analysis%Coal mining%Population surveillance
目的：分析2000例煤矿工人冠心病发病情况及相关因素。方法选择2008年1月—2014年1月在新汶矿业集团莱芜中心医院进行冠状动脉造影（CAG）检查者3500例，均具有胸闷、胸痛等心绞痛症状，根据其职业分为煤矿工人组2000例和非煤矿工人组1500例。记录两组受检者性别、年龄、肥胖发生情况、既往史（高血压和糖尿病）、早发冠心病家族史、吸烟及饮酒情况、三酰甘油（TG）、低密度脂蛋白（LDL）、高密度脂蛋白（HDL）等，并进行比较。结果煤矿工人组受检者冠心病检出率为91.5%，高于非煤矿工人组的75.5%（P ﹤0.05）。煤矿工人组受检者年龄、单支病变发生率低于非煤矿工人组，TG 水平、LDL 水平、男性所占比例、肥胖发生率、高血压病史阳性率、糖尿病病史阳性率、吸烟率、饮酒率、双支病变发生率、多支病变发生率高于非煤矿工人组（P ﹤0.05）；两组受检者 HDL 水平、早发冠心病家族史阳性率比较，差异均无统计学意义（P ﹥0.05）。结论煤矿工人冠心病检出率较高，且具有较多的冠心病高危因素，如高血压、糖尿病、脂质代谢异常、肥胖、吸烟、饮酒等，应引起足够重视并采取相应干预措施。
目的：分析2000例煤礦工人冠心病髮病情況及相關因素。方法選擇2008年1月—2014年1月在新汶礦業集糰萊蕪中心醫院進行冠狀動脈造影（CAG）檢查者3500例，均具有胸悶、胸痛等心絞痛癥狀，根據其職業分為煤礦工人組2000例和非煤礦工人組1500例。記錄兩組受檢者性彆、年齡、肥胖髮生情況、既往史（高血壓和糖尿病）、早髮冠心病傢族史、吸煙及飲酒情況、三酰甘油（TG）、低密度脂蛋白（LDL）、高密度脂蛋白（HDL）等，併進行比較。結果煤礦工人組受檢者冠心病檢齣率為91.5%，高于非煤礦工人組的75.5%（P ﹤0.05）。煤礦工人組受檢者年齡、單支病變髮生率低于非煤礦工人組，TG 水平、LDL 水平、男性所佔比例、肥胖髮生率、高血壓病史暘性率、糖尿病病史暘性率、吸煙率、飲酒率、雙支病變髮生率、多支病變髮生率高于非煤礦工人組（P ﹤0.05）；兩組受檢者 HDL 水平、早髮冠心病傢族史暘性率比較，差異均無統計學意義（P ﹥0.05）。結論煤礦工人冠心病檢齣率較高，且具有較多的冠心病高危因素，如高血壓、糖尿病、脂質代謝異常、肥胖、吸煙、飲酒等，應引起足夠重視併採取相應榦預措施。
목적：분석2000례매광공인관심병발병정황급상관인소。방법선택2008년1월—2014년1월재신문광업집단래무중심의원진행관상동맥조영（CAG）검사자3500례，균구유흉민、흉통등심교통증상，근거기직업분위매광공인조2000례화비매광공인조1500례。기록량조수검자성별、년령、비반발생정황、기왕사（고혈압화당뇨병）、조발관심병가족사、흡연급음주정황、삼선감유（TG）、저밀도지단백（LDL）、고밀도지단백（HDL）등，병진행비교。결과매광공인조수검자관심병검출솔위91.5%，고우비매광공인조적75.5%（P ﹤0.05）。매광공인조수검자년령、단지병변발생솔저우비매광공인조，TG 수평、LDL 수평、남성소점비례、비반발생솔、고혈압병사양성솔、당뇨병병사양성솔、흡연솔、음주솔、쌍지병변발생솔、다지병변발생솔고우비매광공인조（P ﹤0.05）；량조수검자 HDL 수평、조발관심병가족사양성솔비교，차이균무통계학의의（P ﹥0.05）。결론매광공인관심병검출솔교고，차구유교다적관심병고위인소，여고혈압、당뇨병、지질대사이상、비반、흡연、음주등，응인기족구중시병채취상응간예조시。
Objective To analyze the prevalence of coronary heart disease and its related factors in 2 000 coal miners. Methods From January 2008 to January 2014,a total 3 500 patients received coronary angiography were selected in the Central Hospital of Laiwu,Xinwen Mining Industry Group. All of them have chest distress and chest pain,suspected as angina pectoris;and they were divided into A group(coal miners,n = 2 000) and B group( non coal miners,n = 1 500) according to the occupation. Gender,age,incidence of obesity,past medical history( including hypertension and diabetes), family history of early onset coronary artery disease,smoking,drinking,TG,LDL,HDL were compared between the two groups. Results The relevance ratio of A group was 91. 5% ,was statistically significantly higher than that of B group of 75. 5%(P ﹤ 0. 05). Age and incidence of single - vessel lesion of A group were statistically significantly lower than those of B group(P﹤ 0. 05);TG,LDL,proportion of male,incidence of obesity,positive rate of post hypertension and diabetes histories, smoking rate,drinking rate,incidence of double - vessel and multi - vessel lesion of A group were statistically significantly higher than those of B group(P ﹤ 0. 05);while no statistically significant differences of HDL or positive rate of family history of early onset coronary artery disease was found between the two groups(P ﹥ 0. 05). Conclusion The relevance ratio of coronary heart disease is relatively high in coal miners,and always complicates with multiple risk factors of coronary heart disease,such as hypertension,diabetes,dyslipidemia,obesity,smoking,drinking,that should pay more attentions to and take relevant interventions.
