代谢综合征合并冠心病患者相关危险因素及冠脉造影特征分析

将167例冠心病患者分为代谢综合征(MS)组(68例)和非MS组(99例),结果显示,MS组患者相关代谢指标及冠脉造影结果(多支病变、弥漫性病变、闭塞性病变、Ginsini积分)与非MS组相比差异有统计学意义(均P<0.05).根据危险因子数量分组后,5个危险因子组冠脉三支病变、弥漫性病变、闭塞病变明显高于3个危险因子组,3组Ginsini积分随着危险因子数量增多而增大,3个危险因子组与4个和5个危险因子组有明显差异(P<0.05或P<0.01).多因素逻辑回归分析结果显示肥胖、高血压、糖尿病、高低密度脂蛋白胆固醇、低高密度脂蛋白胆固醇与MS患者的冠心病发病有关(P<0.05或P<0.01).

Analysis of the risk factors and angiographical characteristics of patients with metabolic syndrome and coronary heart disease

A total of 167 coronary heart disease (CHD) patients were divided into metabolic syndrome (MS) group (68 cases) and non-MS group (99 cases). There were significant differences in the disease-related metabolic indicators and coronary angiography (multivessel lesions, diffuse stenosis, occlusive lesions, Ginsini score) between MS group and non-MS group ( all P<0.05 ). When the patients with MS were divided into 3 groups according to the number of componernts of MS, three lesions, diffuse stenosis, and occlusive lesions were more frequent in five components group compared with three components group. Ginsini points rised with the increased risk factors. There existed differences in Ginsini score between three components group and four, five components group (P<0. 05 or P<0.01 ). Multivariable logistic regression analysis showed that obesity, hypertension,diabetes, high low-density lipoprotein-cholesterol, and low high-density lipoprotein-cholesterol were the predictors of CHD in patients with MS (P<0.05 or P<0.01 ).