老年冠心病冠状动脉造影临床分析

目的：探讨老年冠心病患者的危险因素及冠状动脉造影临床特点。方法：对65例老年（〉60岁）和51例中青年（〈40岁）冠心病住院患者的临床和冠状动脉造影资料进行回顾性分析和比较。结果：危险因素中老年组高血压明显高于中青年组（P〈0．01）；但中青年组家族史和吸烟因素均明显高于老年组（P〈0．05或P〈0．01）；两组高血脂症、糖尿病因素均无显著性差异（P〉0．05）。老年组病变血管的支数以双支和多支病变为主（75．4％），中青年组以单支病变为主（66．7％）。老年组病变血管狭窄程度以中、重度为主，共占92．3％，而中青年组占60．8％，两组比较有显著性差异（P〈0．05）。老年组阳性率为93．8％，中青年阳性率仅为70．6％，两组阳性率比较，有显著性差异（P〈0．05）。结论：高血压、高血脂症、糖尿病是老年冠心病患者的危险因素，其冠脉病变以双支、多支、中重度病变多见。

Clinical analysis of coronary angiography in elderly coronary heart disease

Objective： To investigate the risk factors and clinical characteristics of coronary angiography of elderly coro- nary heart disease. Methods： Clinical and coronary angiography data of 65 elderly patients （〉60 years） and 51 cases of middle-aged （〈40 years） hospitalized patients with coronary heart disease were retrospectively analyzed and compared. Resuits： Hypertension of risk factors in elderly group was higher than that of the young group （P〈0.01）; but family history and smoking of factors in the young group were significantly higher than those of the old group （P〈0.05 or P〈0.01）; hyperlipidemia and diabetes of factors had no significant difference between two groups （P〉0.05）. Double vessel count and multi-vessel vascular lesions of elderly patients were in the majority （75.4%）, the young group mainly single-vessel （66.7%）. Lesion stenosis of elderly group was mainly moderate to severe, totally 92.3%, while the young group was 60.8%, there was a significant difference between the two groups （/9〈0.05）. The positive rate of elderly group was 93.8%, young and middle-positive rate was just 70.6%, the positive rate between the two groups was statistically significant （P〈0.05）. Conclusion： Hypertension, hypedipidemia, diabetes are risk factors of patients with coronary heart disease, double vessel count and multivessel vascular lesions and severe disease are more common in coronary artery disease.