摘要
目的:探讨军人与非军人冠心病(coronary heart disease,CHD)的危险因素及流行病学特征,评价增龄、职业差异与CHD的相关性。方法:入选军人临床拟诊冠心病患者221例,非军人临床拟诊冠心病患者1 060例,按军人和非军人及年龄分组,进行冠状动脉病变、危险因素分析。结果:军人和非军人冠心病组年龄差异有统计学意义(P<0.001),两组病变危险因素,累及血管支数、病变部位、Gensini积分差异无统计学意义(P>0.05)。军人和非军人中随着年龄增长,Gensini总积分逐渐增加,非军人70～岁年龄段Gensini总积分与军人80～岁组相比差异无统计学意义(P>0.05)。结论:随着增龄,冠脉病变程度逐渐加重。在相同危险因素、相同动脉粥样硬化病变程度,非军人比军人年龄提前10岁左右,提示除传统危险因素外,社会生活环境、不同职业水平也是冠心病的危险因素。
Objective： To investigate risk factors and epidemic character of coronary heart disease（CHD）in servicemen and non-servicemen,and to evaluate the relationship between CHD and aging,occupation.Methods：A total of 221 servicemen and the 1 060 non-servicemen with preliminary diagnosis of CHD were selected,and grouped according to the age.Risk factors were analyzed.Results：There was significant difference in age（P0.001）,and no significant difference in risk factor,the number of involving blood vessels,lesion location,or Gensini score（P0.05）.With the increase of age,total Gensini score of servicemen and non-servicemen gradually increased,and there was no significant difference in total Gensini score between non-servicemen aged 70 years old and servicemen aged 80 years old（P0.05）.Conclusions：As aging,degree of coronary artery disease will become more serious.With the same risk factors and the same degree of atherosclerotic lesions,the age of non-service man patient is about 5 years old younger than service-man patient,suggesting that in addition to traditional risk factors,social environment,different occupation also contribute to coronary heart disease.
出处
《海南医学院学报》
CAS
2012年第4期469-472,共4页
Journal of Hainan Medical University
基金
南京军区"十一五"重点课题资金资助(06Z38)~~
