| 冠心病患者多种危险因素与冠脉病变的相关性 |
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| 引用本文： | 张润军,杨丽霞,齐峰,郭瑞威,徐安妨.冠心病患者多种危险因素与冠脉病变的相关性[J].西南国防医药,2011,21(3):259-262. |
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| 作者姓名： | 张润军 杨丽霞 齐峰 郭瑞威 徐安妨 |
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| 作者单位： | 成都军区昆明总医院心内科,昆明,650032 |
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| 摘 要： | 目的探讨冠心病（CHD）患者多种心血管危险因素与冠脉病变特点的相关性。方法随机选择行冠脉造影术患者337例,以单因素分析心血管危险因素与冠脉病变的关系,采用多因素Logistic回归分析筛选CHD的独立相关危险因素。结果 （1）CHD组平均年龄、体重指数、总胆固醇（TC）、低密度脂蛋白（LDL-C）、甘油三酯（TG）、血尿酸（UA）、空腹血糖（FBG）、血清纤维蛋白原（FIB）水平均显著高于非CHD组,高密度脂蛋白（HDL-C）、血清总胆红素（TBIL）水平显著低于非CHD组,合并吸烟、高血压、高血脂、糖尿病的病例显著多于非CHD组（P〈0.05或P〈0.01）;（2）高脂血症、高血压、糖尿病史、TC、LDL-C、HDL-C、吸烟、FBG、年龄、FIB、TBIL入选回归方程（P〈0.05或P〈0.01）,其中高脂血症为最显著的独立相关因素（B=1.064,95%可信区间1.588～4.264,P〈0.01）。结论高脂血症、高血压、增龄、吸烟,LDL-C、TC、FBG及FIB水平升高,TBIL、HDL-C水平降低,为CHD的显著独立相关危险因素。
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| 关 键 词： | 冠心病 冠脉造影 危险因素 |
Correlation between multiple risk factors and characteristics of coronary artery lesions |
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| Zhang Runjun,Yang Lixia,Qi Feng,Guo Ruiwei,Xu An'fang.Correlation between multiple risk factors and characteristics of coronary artery lesions[J].Medical Journal of National Defending forces in Southwest China,2011,21(3):259-262. |
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| Authors: | Zhang Runjun Yang Lixia Qi Feng Guo Ruiwei Xu An'fang |
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| Institution: | Zhang Runjun,Yang Lixia,Qi Feng,Guo Ruiwei,Xu An'fang Department of Cardiology,Kunming General Hospital of Chengdu Military Command,Kunming,Yunnan,650032,China |
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| Abstract: | Objective To explore the correlation between multiple cardiovascular risk factors and characteristics of coronary artery lesions in patients with coronary heart disease(CHD).Methods The clinical data of 337 cases receiving coronary angiography(CAG)were selected at random.Univariate analysis was used to study the relationships between cardiovascular risk factors and coronary artery lesions,and multivariate Logistic regression analysis was applied to screen independent correlative risk factors.Results(1)Patie... |
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| Keywords: | coronary heart disease coronary angiography risk factor |
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