老年急性脑梗死合并冠心病的危险因素分析

目的分析老年急性脑梗死合并冠心病的危险因素,为防治老年急性脑梗死合并冠心病提供参考。方法选取2013年1月—2014年3月我院治疗的93例老年急性脑梗死合并冠心病患者作为临床研究对象,另选取同期治疗的90例单纯老年急性脑梗死患者作为对照组,比较两组高血压、糖尿病、血脂及血糖等生化检查的差异性,应用Logistic回归方程分析老年急性脑梗死合并冠心病的临床危险因素。结果观察组患者BMI为（28.7±4.6）kg/m2,SBP为（170.6±17.5）mmHg,TG为（2.9±0.6）mmol/L,LDL-C为（4.3±0.5）mmol/L,TC为（5.8±1.9）mmol/L,FBG为（8.4±2.5）mmol/L,2hPG为（14.3±2.9）mmol/L,年龄为（71.86±7.96）岁,吸烟共68例,高血压共74例,糖尿病共,46例,血脂异常共39例,显著高于对照组患者,对照组BMI 22.6±4.3kg/m2,SBP为（142.3±12.9）mmHg,TG为（1.7±0.7）mmol/L,LDL-C为（3.1±0.6）mmol/L,TC为（4.6±1.4）mmol/L,FBG为（5.7±2.8）mmol/L,2hPG为（10.6±2.2）mmol/L,年龄为（65.29±7.58）岁,吸烟共51例,高血压共55例,糖尿病共24例,血脂异常共26例（P〈0.05）;Logistic回归方程分析显示年龄、吸烟、肥胖、高血压、高血糖以及高血脂均为老年急性脑梗死合并冠心病的危险因素,糖尿病及高LDL-C血症为独立危险因素。结论老年急性脑梗死合并冠心病的独立危险因为糖尿病及高LDL-C血症,早期干预危险因素,有利于防治心脑血管事件。

Risk factors for coronary heart disease in elderly patients with acute cerebral infarction analysis

Objective To analyze the risk factors for coronary heart disease in elderly patients with acute cerebral infarction, exploration for the prevention of coronary heart disease in elderly patients with acute cerebral infarction reference.Methods January2013-2014 in March in our hospital 93 cases of acute cerebral infarction in elderly patients with coronary heart disease as a clinical research object, select the same period another 90 cases of simple treatment of elderly patients with acute cerebral infarction as a control group to compare the two of hypertension, diabetes, lipids and blood glucose and other biochemical differences, application Logistic regression analysis of clinical risk factors for coronary heart disease in elderly patients with acute cerebral infarction.Results BMI observation group was（28.7±4.6）kg/m2, SBP was（170.6±17.5）mmHg,TG was（2.9±0.6）mmol/L, LDL-C was（4.3±0.5）mmol/L,TC was（5.8±1.9）mmol/L,FBG was（8.4±2.5）mmol/L,2hPG was（14.3±2.9）mmol/L,age was（71.86±7.96）years old,smoking a total of 68 cases, a total of 74 cases of hypertension, diabetes, a total of 46 cases, a total of 39 cases of dyslipidemia was significantly higher related to the level of the control group（P0.05）; Logistic regression analysis showed that age,smoking,obesity, high blood pressure, high blood sugar and high cholesterol are elderly patients with acute cerebral infarction and coronary heart disease. Conclusion An independent risk elderly patients with acute cerebral infarction and coronary heart disease because of diabetes,and high LDL-C viremia, early intervention risk factors have contributed to the prevention of cardiovascular events.