中青年冠心病的特点及其危险因素的分析

目的探讨中青年冠心病的临床和冠状动脉造影的特点，并且对其危险因素进行分析，以便更好地预防和治疗冠心病。方法对126例中青年组（≤50岁）和120例老年组（〉50岁）冠心病患者的临床资料（包括冠状动脉造影）进行回顾性分析和比较。结果中青年组以突然发病者居多，高血压、酗酒、家族史、高胆固醇、高LDL及低HDL者均高于老年组，但差异无统计学意义；老年组糖尿病和高尿酸者高于中青年组，但差异无统计学意义；中青年组抽烟、高甘油三酯多于老年组，差异有统计学意义（P〈0．05）；两组冠状动脉造影结果差异无统计学意义。结论中青年人与老年人在冠心病发病特点、危险因素、冠状动脉造影大致相似，但也存在一定的差异，其中吸烟、高甘油三酯血症是青年冠心病患者突出的危险因素，可促使其提早发生冠心病。

Clinical analysis of the features of coronary heart disease and its risk factors among young and middle aged people

Objective To explore the clinical and coronary angiographic features of cardiovascular disease and analysis its risk factors among young and middle aged patients in order to give better prevention and treatment of coronary heart disease. Methods We retrospectly analyzed the clinical data including results of coronary angiography of 126 young（ ≤50 years）and 120 elderly（ 〉 50 years）CHD cases and outcomes of coronary angiography in both groups were retrospetively investigated and then statistically analyzed. Results The young group often suffer from myocardial infarction and the elderly group often suffer from angina pectoris. Hypertension ,heavy drinking,family history of cardiovascular disease ,high - cholesterol ,high - LDL and low - HDL were common in young cases, but there was no significant difference （P 〉 0.05 ）. High -triglyceride were more common in young cases than those in elderly cases（ P 〈 0.05 ） ; results of coronary angiograph had no significant difference. Conclusion Risk factors, clinical and coronary angiographic features are almost the same in young and middle aged people and old people, but there are still some differences between the two. Smoking and high - tfiglyceride are important risk factors for young CHD cases, and more attention should be paid in the early prevention and treatment.