摘要
目的探讨原发性高血压合并冠心病病人的临床及冠脉造影特点。方法选择确诊冠心病的住院病人272例,按有无合并高血压分为两组,比较两组的临床及冠脉造影情况。结果①高血压合并冠心病病人年龄偏大、女性所占比率较高、血脂异常及糖尿病发生率较高;②高血压合并冠心病病人的冠脉病变与不合并高血压的冠心病病人相比,多支病变发生率高;③多因素分析结果显示冠脉病变支数与脉压、糖尿病病程相关。结论高血压合并冠心病病人冠脉病变较重,多支病变发生率高。
Objective To research the clinical and angiographic characteristics of coronary heart disease（CHD） in patients with essential hypertension（EH）. Methods All 272 CHD patients received coronary angiography and were divided into Eli and non- EH groups. The clinical and angiographic characteristics of two groups were analyzed. Results ①Compared with non-EH patients, the EH patients were older, and more female, higher occurence rate of diabetes mellitus and hyperlipemia. ②more multivessels were involved in EH group than in non-EH group （64.4 % vs 50.3 %, P （0.05）. ③A significantly positive correlation was found between pulse pressure （PP）, course of diabetes and coronary branches involved. Conclusion The feature of coronary lesion in CHD patients with EH has higher incidence rate of multivessels lesions. By a multivariate analysis, the severity of coronary lesions is correlated with PP and couse of diabetes.
出处
《山西医科大学学报》
CAS
2006年第3期269-271,共3页
Journal of Shanxi Medical University
