摘要
目的 探析青年和老年冠心病危险因素以及冠状动脉造影上的特点。方法 选取2023年01月-2023年12月60例青年冠心病患者和60例老年冠心病患者,进行回顾性研究,收集全部患者的基线资料,对这些患者的冠心病危险因素以及冠状动脉造影特点观察对比,并选择logistic回归多因素对其分析。结果 青年和老年冠心病患者的吸烟、男性、体重超标、阳性家族史、血脂异常和大量饮酒作为导致冠心病的单因素影响(P<0.05)。而较青年冠心病组,老年冠心病组的糖尿病和高血压更明显(P<0.05)。将吸烟、男性、体重超标、阳性家族史、血脂异常和大量饮酒作为自变量,而因变量是冠心病,非条件以logistic多因素回归分析,发现冠心病患者在吸烟、家族史、男性、体重超标、阳性家族史、血脂异常和大量饮酒均是导致青年和老年冠心病的独立危险因素(P<0.05)。在前降支和右冠脉病变上,青年和老年冠心病均多。而青年组比老年组单只病变多(P<0.05),而老年组比青年组的左主干和多支病多(P<0.05),均有统计学差异。结论 冠心病发病的危险因素为吸烟、阳性家族史、男性、体重超标、血脂异常和大量饮酒等。特别强调青年冠心病患者早期在防治阶段主要是戒烟戒酒与控制体重。
Objective To explore the risk factors for coronary heart disease in young and elderly individuals,as well as the characteristics of coronary angiography.Methods A retrospective study was conducted on 60 young coronary heart disease patients and 60 elderly coronary heart disease patients from January 2023 to December 2023.Baseline data of all patients were collected,and the risk factors for coronary heart disease and coronary angiography characteristics of these patients were observed and compared.Logistic regression multiple factor analysis was selected for their analysis.The results showed that smoking,family history,male gender,overweight,positive family history,dyslipidemia,and excessive alcohol consumption among young and elderly patients with coronary heart disease were single factor factors that led to coronary heart disease(P<0.05).Compared with young coronary heart disease group,elderly coronary heart disease group had more diabetes and hypertension(P<0.05).Using smoking,family history,male,overweight,positive family history,dyslipidemia,and excessive alcohol consumption as independent variables,with coronary heart disease as the dependent variable.Unconditional logistic multiple regression analysis revealed that smoking,family history,male,overweight,positive family history,dyslipidemia,and excessive alcohol consumption were all independent risk factors for coronary heart disease in young and elderly individuals(P<0.05).Both young and elderly individuals have a higher incidence of coronary heart disease in the anterior descending branch and right coronary artery lesions.The young group had more single lesions than the elderly group(P<0.05),while the elderly group had more left main trunk and multi branch diseases than the young group(P<0.05),with statistical differences.Conclusions The risk factors for coronary heart disease include smoking,family history,male gender,overweight,abnormal blood lipids,and excessive alcohol consumption.It is particularly emphasized that young patients with coronary heart disease should quit smoking,drinking,and weight control in the early stages of prevention and treatment.
作者
张春洋
林梦娇
李艳华
赵宏
邹书斌
朱柏祥
ZHANG Chunyang;LIN Mengjiao;LI Yanhua;ZHAO Hong;ZOU Shubin;Zhu Boxiang(Harbin 242 Hospital,150060)
出处
《航空航天医学杂志》
2025年第2期141-143,共3页
Journal of Aerospace medicine
关键词
青年
老年
冠心病
危险因素
冠状动脉造影
Youth
Old age
Coronary heart disease
Risk factors
Coronary angiography
