摘要
目的;观察冠心病危险因素对壁冠状动脉患者的长期临床影响。方法:310例经冠脉造影证实为壁冠状动脉,且均没有诊断意义的冠脉狭窄的患者,按是否有典型心绞痛症状,或心肌梗死史,或心电图有明显缺血表现,分为典型心肌缺血组和非典型心肌缺血组。比较冠心病危险因素对两组患者的影响。结果:典型心肌缺血组平均有3.4个危险因素,而非典型心肌缺血组只有1.3个危险因素(P<0.01);因心绞痛来医院就诊,典型心肌缺血组7.4次/年,非典型心肌缺血组1.6次/年(P<0.01);因心绞痛服药,典型心肌缺血组4.4种/人,非典型心肌缺血组0.6种/人(P<0.01)。结论:壁冠状动脉患者总体预后良好,但合并较多危险因素的患者,发生心肌缺血的可能性较大。
Objective： To observe the long term influence of coronary risk factors on pauents with myocardial bridge, Methods：We selected 310 cases of patients with myocardial bridge but not with coronary stenosis which confirmed by corunary arteriography. The cases were divided into two groups： typical myocardial ischemia group and untypical myocardial ischemia group, Compare the diferenee of coronary risk factors between two groups and its effects on prognosis. Results：There are about 3.34kinds of risk tactors in typical ischemia group, but 1.3kinds ofrisk factors in the other（P〈0.01）. Because of ischemia, there are about 7.4 times a year need to see doctor and need to eat about 4,64kinds of drugs per patients in typical isehemia group, but only 1.6times a year need to see doctor and need to eat 0.6 kinds of drugs per patients（P〈0.01） in other group.Conelusion： The prognosis of patients with myocardial bridge are good, but the more risk factors, the more rates of ischemia may happen.
出处
《中国医药导刊》
2010年第2期243-244,共2页
Chinese Journal of Medicinal Guide
