老年人冠心病易患因素分析及预防

目的 调查老年人群冠心病的危险因素。方法 同时测定1658例年龄在30-84岁体检干部的心电图、血脂、空腹血糖和血压。结果 与老年对照组(n=120,年龄60-78岁,无心脏病)相比,老年冠心病患者(n=131,年龄60-84岁)高脂血症(41.98％)、高血压(51.91)和糖尿病(10.6％)的发生率明显升高;中年人群(n=150,年龄30-59岁,无心脏病)甘油三酯和胆固醇显著增高。结论 高血脂、高血压和糖尿病是老年人群冠心病的危险因素,合理和健康的饮食结构,尤其在中年人群中,是预防冠心病的基础之一。

Analysis of risk factors of coronary heart disease and its prevention in elderly persons

Objective To investigate the risk factors of coronary heart disease in elderly persons. Methods Serum Lipid, fasting blood glucose were measured and Electrocardiogram and blood pressure recorded in 1658 cadres aged 30- 84 years. Results Compared with elderly control group(n= 120,age 60 - 78 years;no heart disease) , the prevanlence rates of hyperlipidemia (41.98%), hypertension (51.91%) and diabetes mellitus (10. 6 % ) increased significantly in the elderly patients with coronary heart disease(n= 131, age 60- 84 years) ;serum triglyceride and cholesterol concentrations raised markdely in middle-aged subjects(n= 150,age 30-59 years.no heart disease). Conclusion Hy perlipidemia, hypertension and diabetes are risk factors for coronary heart disease in elderly population, reasonable and healthy dietary structure , especially in middle- aged population , is a basis for preventing coronary heart disease.