老年冠心病患者腹主动脉瘤发病特点及危险因素分析

目的分析腹主动脉瘤(AAA)在老年冠心病人群中的发病情况及其危险因素。方法选择86例冠心病及60例未患冠心病的老年患者(65岁),分为冠心病组和对照组,常规超声心动仪检查AAA发病情况,并对冠心病组AAA患者的危险因素进行分析。结果冠心病组的AAA发病率明显高于无冠心病组(15.1%vs3.3%;P0.05),logistic回归分析发现吸烟(OR=4.79;P0.01)和颈动脉狭窄(OR=3.29;P0.05)与AAA发病密切相关,糖尿病与AAA呈负相关(OR=0.15;P0.05)。结论老年冠心病患者AAA发病率高,两者间有着部分相同的危险因素,但不完全一样。

Characteristics and risk factors of abdominal aortic aneurysm in elderly patients with coronary heart disease

Objective To analyze the incidence and risk factors of abdominal aortic aneurysm （AAA） in elderly individuals with coronary heart disease （CHD）. Methods Eighty-six CHD patients （CHD group） and 60 patients without CHD （control group） （both〉65 years） were selected. All subjects underwent conventional eehocardiographic examination to investigate the incidence of AAA. The risk factors of AAA in CHD patients were analyzed. Results AAA incidence in CHD group was significantly higher than that in control group （15. 1 % vs 3. 3%; P〈0. 05）. A logistic regression analysis showed that smoking （OR=4. 79;P〈0. 01） and carotid artery stenosis （OR=3. 29; P〈0. 05） were closely related to incidence of AAA, while diabetes was correlated negatively to incidence of AAA （OR=0. 15; P〈0. 05）. Conclusion Elderly CHD patients have high incidence of AAA. CHD and AAA have some similar risk factors in elderly individuals.