早发冠心病的临床危险因素分析与护理对策

目的 探讨早发冠心病的危险致病因素,为其临床防治和护理提供参考。 方法 选择杭州师范大学附属医院2014年6月-2015年9月间收治的48例早发冠心病患者为早发组,并选取同期该院心血管内科收治的48例非早发冠心病患者为晚发组。制作危险因素调查表,对2组年龄、体重指数、文化程度、吸烟史、饮酒史、高血压史、糖尿病史、早发冠心病家族史、甘油三酯、总胆固醇、极低密度脂蛋白、糖化血红蛋白、血尿酸、超敏C-反应蛋白等情况进行统计,并采用单因素和多因素分析确定早发冠心病的危险因素。资料采集前对参与人员进行统一培训,以确保调查的严谨性、科学性和技术性。 结果 单因素和多因素Logistic回归分析结果显示:年龄、吸烟史、饮酒史、高血压史、糖尿病史、早发冠心病家族史、甘油三酯、总胆固醇、极低密度脂蛋白、糖化血红蛋白、血尿酸、超敏C-反应蛋白是早发冠心病的危险因素(P<0.05)。 结论 早发冠心病临床由多因素共同引起,其中年龄、吸烟史、饮酒史、高血压史、糖尿病史、早发冠心病家族史、甘油三酯、总胆固醇、极低密度脂蛋白、糖化血红蛋白、血尿酸、超敏C-反应蛋白是早发冠心病的危险因素,临床上应该高度重视早发冠心病的危险因素,及早预防和治疗,降低早发冠心病的发病率。 

Clinical risk factor analysis and nursing strategy of premature coronary artery disease

Objective To investigate the risk factors of premature coronary artery disease risk,and provide reference for clinical prevention,treatment,and nursing. Methods Total 48 cases of premature coronary heart disease patients in our hospital from June,2014 to September,2015 were selected into observation group,and 48 cases of non-premature coronary heart disease patients of cardiology in the same period were selected into control group.Risk factors questionnaire was made,and the gender,age,body mass index,education level,smoking history,drinking history,hypertension history,diabetes,family premature coronary heart disease history,triglycerides,total cholesterol,very low density lipoprotein,glycosylated hemoglobin,blood uric acid,high-sensitivity C-reactive protein of two groups were accounted and analyzed using univariate and multivariate to determine risk factors for premature coronary artery disease. Results Univariate and multivariate Logistic regression analysis showed:age,smoking history,drinking history,hypertension history,diabetes,family premature coronary heart disease history,triglycerides,total cholesterol,very low density lipoprotein,glycosylated hemoglobin,uric acid,high-sensitivity C-reactive protein are the risk factors for premature coronary artery disease (P<0.05).Before data collection,participates were unified trained ensure the rigorous investigation,scientific,and technical. Conclusion Premature coronary heart disease was caused by many clinical factors,age,smoking history,drinking history,hypertension history,diabetes,family premature coronary heart disease history,triglycerides,total cholesterol,very low density lipoprotein,glycosylated hemoglobin,uric acid,high-sensitivity C-reactive protein are the risk factors.The clinical risk factors of premature coronary heart disease should be height paied attention,and early prevent and treat to reduce the incidence of premature coronary artery disease.