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271例冠心病患者危险因素分析 被引量：20

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摘要 目的探讨心血管危险因素与冠心病之间的关系,为防治冠心病提供依据。方法回顾性分析解放军第421医院住院的271例临床病例,危险因素包括性别、年龄、吸烟、高血压、血糖、血清总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、三酰甘油(TG)、尿酸(UA)。结果多危险因素Lo-gistic回归分析显示,高血压、性别、吸烟、年龄、TC、HDL-C、TG、UA为冠心病显著的独立相关因素,其中HDL-C的相对危险RR<1(B=-1.545,P=0.002),为冠心病的强保护性因素;高血压为最显著的独立相关因素(RR=7.842,P<0.001),吸烟和性别的相对危险也很大(吸烟:B=1.336,P=0.005,RR=3.803;性别:B=1.508,P=0.001,RR=4.518)。结论在男性中,随着年龄的增大,冠心病的相关危险因素发生很大变化,年龄越大,高血压和吸烟的相对危险也越大;而对女性来讲,不论是处在哪个年龄段,高血压和尿酸都是冠心病的独立相关因素。
作者 潘巧玲 吴建华 冯常森 于博 张红钦
机构地区 华南理工大学生物医学与工程系 南方医科大学珠江医院 中国人民解放军第
出处 《广东医学》 CAS CSCD 北大核心 2009年第9期1345-1348,共4页 Guangdong Medical Journal
基金 广东省科技计划项目(编号:2007B031508012) 广东省科技计划项目(编号:2008B030303018)
关键词 冠心病 危险因素 成年人
分类号 R544.1 [医药卫生—心血管疾病] R541.4 [医药卫生—心血管疾病]
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参考文献16

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二级参考文献20

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共引文献210

同被引文献127

引证文献20

二级引证文献82

广东医学
2009年 第9期

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