摘要
目的:探讨维吾尔族与汉族高血压伴冠心病(CHD)患者的冠状动脉(冠脉)病变特点。方法:回顾性分析600例维吾尔族与汉族高血压患者行选择性冠脉造影确诊为CHD的病历资料,对其冠脉病变特点加以对比研究;冠脉病变程度用病变部位、支数、分型及病变Gensini总积分表示。结果:维吾尔族组左回旋支病变发生率高于汉族组(59.5%∶46.0%,P<0.05),单支病变发生率明显低于汉族组(28.9%∶37.9%,P<0.05),而3支病变发生率显著高于汉族组(44.3%∶25.6%,P<0.05);维吾尔族组A型病变发生率明显低于汉族组(40.9%∶62.1%,P<0.05),而C型病变发生率显著高于汉族组(32.6%∶15.2%,P<0.05);维吾尔族组Gensini总积分高于汉族组[(43.1±33.0)∶(28.6±25.9),P<0.05]。结论:维吾尔族高血压伴CHD患者以3支病变率高,C型病变居多,冠脉病变程度较汉族患者严重。
Objective：To study the characteristics of coronary artery lesions of coronary heart disease（CHD） in Uygur and Han nationality hypertension patients. Method：A total of 600 hypertension patients with CHD in our hospital were divided into Han group（n=309） and Uygur group（n=291）.The coronary lesions were evaluated by location,quantity,type and Gensini scores. Result：The incidence of left circumflex branch lesion was significantly higher in Uygur group than that in Han group（59.5%∶46.0%,P〈0.05）.The incidence of single branch lesion in Uygur group was lower than that in Han（28.9%∶37.9%,P〈0.05）,but the incidence of 3-vessel lesions was significantly higher（44.3%∶25.6%,P〈0.05）.Compared with Han group,C-type lesion rate was higher（32.6%∶15.2%,P〈0.05） and A-type lesion rate was lower（40.9%∶62.1%,P〈0.05） in Uygur group.Gensini score of Uygur group was significantly higher than those of Han group [（43.1±33.0）∶（28.6±25.9）,P〈0.05]. Conclusion：Uygur hypertension patients with CHD have more severe coronary artery lesions than Han patients,have high rates of 3-branch and C-type lesions.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2012年第6期430-432,共3页
Journal of Clinical Cardiology
关键词
高血压
冠状动脉疾病
民族差异
冠状动脉造影术
hypertension； coronary artery disease； ethnic differences； coronary angiography
