CAJ | 학술논문

目的分析不同性别患者传统及新兴危险因素与动脉粥样硬化性肾动脉狭窄(ARAS)发病的关系.方法入选2 060例疑诊冠心病患者行冠状动脉造影后选择性肾动脉造影,记录传统和新兴危险因素,对不同性别ARAS患者传统和新兴危险因素分别进行比较.结果不同性别ARAS患者中,传统危险因素吸烟(59.18％与12.50％,x2=17.47,P＜0.01)和糖尿病(28.57％与46.87％,x2=5.64,P＜0.05)比较差异均有统计学意义,而新兴危险因素中高密度指蛋白胆固醇(HDL-C)、ApoA1、ApoB/ApoA1比值、HbA1C、Hcy水平比较差异均有统计学意义(t值分别为2.62、2.07、-2.83、-2.37、3.74,JP均＜0.05).结论不同性别ARAS患者主要危险因素存在差异,这对制定相应的防治策略具有重要意义.
목적 분석불동성별환자전통급신흥위험인소여동맥죽양경화성신동맥협착(ARAS)발병적관계.방법 입선2 060례의진관심병환자행관상동맥조영후선택성신동맥조영,기록전통화신흥위험인소,대불동성별ARAS환자전통화신흥위험인소분별진행비교.결과 불동성별ARAS환자중,전통위험인소흡연(59.18％여12.50％,x2=17.47,P＜0.01)화당뇨병(28.57％여46.87％,x2=5.64,P＜0.05)비교차이균유통계학의의,이신흥위험인소중고밀도지단백담고순(HDL-C)、ApoA1、ApoB/ApoA1비치、HbA1C、Hcy수평비교차이균유통계학의의(t치분별위2.62、2.07、-2.83、-2.37、3.74,JP균＜0.05).결론 불동성별ARAS환자주요위험인소존재차이,저대제정상응적방치책략구유중요의의.
Objective To analyze the relationship between traditional & emerging risk factors and the pathogenesis of atherosclerotic renal artery stenosis (ARAS) in different gender patients.Methods Selective renal artery angiography was performed immediately after routine coronary angiography in 2060 patients with suspected coronary artery disease.Traditional & emerging risk factors were recorded and compared in different gender patients with ARAS.Results Among the patients with ARAS, smoking (59.18％ vs.12.50％, x2 =17.47,P＜0.01) and diabetes(28.57％ vs 46.87％, x2 =5.64, P＜0.05) compared with both genders were significantly differences.There were significant differences in high density lipoprotein cholesterol, ApoA1, ApoB/ApoA 1, HbA1C and Hcy (t =2.62,2.07,-2.83,-2.37,3.74;P＜ 0.05) in the ARAS patients compared with both genders.Conclusion The main risk factors in different gender patients with ARAS were different.It is important to adopt appropriate control strategies.