维吾尔族和汉族冠心病危险因素与冠状动脉病变对照分析

目的：探讨新疆维吾尔族和汉族冠心病（CHD）患者危险因素及冠状动脉病变的差异。方法：连续收集经冠状动脉造影（CAG）确诊的冠心病住院患者268人，并将其分为维吾尔族CHD组（80例）和汉族CHD组（188例）。设计统一的调查表，分析对比两组CHD危险因素，冠状动脉病变特点和以超重为基础的危险因素聚集情况（高血压，糖尿病，高甘油三酯血症和低水平高密度脂蛋白4个危险因素）。结果：维吾尔族CHD组超重患者明显多于汉族组（P〈0．01），血高密度脂蛋白-胆固醇（HDL-C）水平降低患者明显多于汉族组（P〈0．05）；维吾尔族CHD组3个危险因素聚集患者明显多于汉族组（P〈0．05）；维吾尔族患者冠脉3支病变和狭窄程度为74％～99％者明显多于汉族组（P〈0．05）。结论：新疆维吾尔族CHD患者超重、低HDL-C者较汉族显著增多，且有多种危险因素者，冠状动脉病变范围、程度较汉族广而严重，需特别重视。

Compare of coronary artery lesion and risk factors between Uygur race and Han race

Objective:To compare and analyze the difference of risk factors and coronary artery lesions in patients with coronary artery disease(CAD) between Uygur race and Han race in Xinjiang. Methods:A total of 268 CAD patients diagnosed by coronary angiography(CAG) were divided into Uygur race group (n=80) and Han race group (n=188). Design the queationnaire to survey the risk factors of CAD and CAG results of all patients. Results:Uygur patients had much more overweight patients than those of Han (P<0.0l ). Among patients,Uygur patients had much more patients with lower high-density lipoprotein than those of Han (P<0.05).The patients with clustering of three risk factors (P<0.05 ) of Uygur were much more than those of Han (P<0.05 ). The lesions of Uygur CAD patients were more severe than those of Han:had more 3 branches lesion (P<0.05 ) and more 75%~99% stenosis coronary lesion (P<0.05 ).Conclusion:Overweight and lower level of high-density lipoprotein are the important risk factors of CAD in Uygur.The clustering of risk factors based on overwight is usually in Uygur. Uygur race patients suffer more severer lesion of coronary artery as compared with Han race.