老年人冠心病危险因素分析

目的　综合评价冠心病危险因素对老年人冠心病的影响。方法　对 35 7例行选择性冠状动脉造影检查的老年患者进行回顾性分析。结果　 35 7例行冠状动脉造影检查的患者中确诊冠心病 2 32例 ,阳性率 6 5 4%。单因素分析 ,增龄、男性、吸烟、饮酒、高血压、糖尿病、体重增加、总胆固醇及低密度脂蛋白升高、高密度脂蛋白降低易致老年冠心病事件发生。多因数回归分析 ,性别、年龄、吸烟及LDL/HDL C为冠心病事件发生的独立危险因素。结论　与年轻患者比较老龄患者的心血管事件发生的危险性更高。因此对危险因素的预防和控制可为老龄患者带来的绝对获益更大。

An analysis of the risk factors of coronary heart disease in the elderly

Objective To assesse the risk factors of coronary heart disease(CHD) in the elderly.Methods 357 cases of selective coronary angiography in aged patients were analysed retrospectivey.Results Out of 357 cases,232 patients were diagnosed with coronary heart disease,with a positive rate of 65.4%.Under a singular factor analysis,male,increased age,smoking,drinking,hypertension,dibetes mellitus,weight gain,high level cholesterol(TC) and low density lipoprotein(LDL),and low level high density lipoprotein(HDL) are risk factors that are likely to result in coronary heart disease.Under a logistic analysis,sex,age,smoking and LDL/HDL are independent risk factors of coronery heart disease.Conclusion In comparisonait to younger patients,elderly patients have higher risk of CHD.Therefore,the prevention and control of the CHD risk factors can get more benefit for the elderly.