女性冠心病患者的冠状动脉病变特点及危险因素分析

目的探讨女性冠心病患者的冠状动脉病变表现、危险因素与男性的差异.方法对我院2002年1月至2004年12月临床诊断为冠心病并行冠状动脉造影的34例女性患者和105例男性患者资料进行比较分析,比较两组患者的冠状动脉病变支数、狭窄程度及危险因素.结果冠状动脉病变女性单支病变占44.1%,累及血管最多为左前降支79.4%(P＜0.05),男性冠状动脉3支病变占38.1%(P＜0.05);高血压病、糖尿病、家族史两组间差异无显著性(P＞0.05),女性血脂增高以高胆固醇为主,男性以高甘油三酯为主;女性组超过3个以上危险因素者占35.3%,男性组占66.7%,两组间差异有极显著性(P＜0.01).结论女性冠心病以单支病变多见,左前降支是最易累及的血管,绝经是危险因素之一.

Risk factors and characteristics of coronary artery lesion in female patients with coronary heart disease

Objective To approach the difference of the risk factors and coronary lesions characteristics in female and male patients with coronary heart disease.Methods A total of 34 female and 105 male patients with known CHD under went coronary angiography from Jan.2002 to Dec.2004 were comparatively analyzed,comparing their numbers of branch,extent of coronary lesions and risk factors.Results Single vessel lesion in female group was 44.1%.79.4% of the first struck blood vessel was LAD(P<0.05),3-vessel lesions in male group was 38.1% (P<0.05).Hypertension,diabetes and family history were not of significant difference among them (P<0.05).Higher cholesterin levels appeared more in female group,while higher triglyceride levels more in male group.There were 35.3% patients who had over 3 risk factors in female group,but in male group there were 66.7% patients,there were significant differences among them (P<0.01).Conclusion Single vessel lesion appears more in female group,LAD is the first struck blood vessel.Menopause is a unique risk factor.