不同年龄组冠心病患者冠状动脉造影特点

目的:探讨不同年龄组冠心病(coronary heart disease,CHD)患者的临床及冠状动脉造影(CAG)特点。方法:将148例CHD患者,根据年龄分为中青年组(年龄<60岁,n=52)、普通老年组(年龄60~74岁,n=74)和高龄老年组(年龄>74岁,n=22),对三组患者一般资料、血生化指标及CAG结果进行分析,并经统计学处理。结果:中青年组高血压并发率低于高龄老年组(P<0.05)。中青年组以单支病变为主,而普通老年组和高龄老年组以多支病变较多(P<0.05),高龄老年组右冠状动脉病变高于中青年组(P<0.05),三组ACC/AHA积分差异无统计学意义(P>0.05),普通老年组和高龄老年组弥漫长病变多于中青年组(P<0.05)。结论:不同年龄组CHD有不同的临床和CAG特点,不同年龄人群应采取有针对性的CHD防治措施,对合理防治冠状动脉病变的发生和发展有重要意义。

Coronary angiographic characteristics of cornonary heart disease patients in different age-groups

Objective： To explore the clinical characteristics of angiography in patients of different ages with coronary heart disease （CHD）. Methods：One hundred forty-eight CHD patients were divided into middle age-group（ 〈 60 years old） , elderly group（ 60 -74 years old）and older age-group（ 〉 74 years old）. Their clinical data, biochemical indicators and coronary arteriongraphy results were compared and analyzed statistically. Results：There was less hypertension in the middle age-group than in the older age-group （P 〈 0.05 ）. More single-vessel lesion was found in the middle-aged, and multiple vessel diseases occurred more frequently in the elderly and the older aged（ P 〈 0.05）. Right coronary artery lesions was more frequently observed in the aged than the middle-aged（ P 〈 0.05 ）. ACC/AHA scores did not show significant statistical difference in the three groups（P 〉0.05 ）. There were more diffuse lesions in the elderly group and older age-group than in the middle age-group （P 〈 0.05 ）. Conclusions： Coronary angiography demonstrates different characteristics for patients of different ages, and effective measures should be taken accordingly, which will be of great significance for the treatment of patients with coronary artery disease.