早发冠心病危险因素分析

目的研究早发冠心病患者的危险因素特点。方法60例经冠状动脉造影确诊的冠心病患者，根据年龄分为早发冠心病组（男性〈55岁，女性〈65岁）29例和对照组31例。对两组患者的相关资料进行回顾性统计分析，比较两者的血脂水平、高血压病史、糖尿病病史、冠心病家族史、吸烟史、饮酒史等。评价在两组人群间是否存在差异性。结果早发冠心病组中吸烟史、冠心病家族史、血清总胆同醇症比例高于老年冠心病组；而高血压病史、糖尿病史比例低于老年冠心病组。结论吸烟、冠心病阳性家族史及高胆同醇血症是早发冠心病患者主要危险凶素。

Risk factors analysis of premature coronary heart disease

Objective To study the risk factors characteristics of premature coronary heart disease. Methods Sixty patients with coronary heart disease diagnosed by coronary artery angiography were divided into premature coronary heart disease group (male < 55 years old, female < 65 years old, n = 29) and the control group (n = 31). The related data of patients in two groups were retrospectively analyzed, the blood lipid levels, history of hypertension, history of diabetes, history of coronary heart disease family, history of smoking, history of drinking and so on were compared between two groups. Evaluation of whether there were differences between two groups was given. Results The history of smoking, history of coronary heart disease family and serum total cholesterol in premature coronary heart disease group were higher than those in the old CHD group, while the history of hypertension and history of diabetes were lower than those in the old CHD group. Conclusion Smoking, positive family history of coronary heart disease and high cholesterol are the main risk factors for patients with premature coronary heart disease.