摘要
目的探讨不同年龄组急性冠脉综合征住院患者临床特征及冠脉造影特点。方法选取2017年1月至2019年1月期间在我院接受过冠脉造影诊治的873例急性冠脉综合征患者作为研究对象,根据不同年龄层次分为高龄组(≥80岁,n=252)、中老年组(45-79岁,n=291)、青年组(<45岁,n=330)。回顾性分析所有患者的临床特征及冠脉造影特点。结果分析三组人群的临床特征发现,高龄组和中老年组较之青年组的吸烟情况明显减少,差异显著(P<0.05);中老年组和高龄组的高血压比例、血红蛋白、血尿酸含量明显高于青年组,但高龄组的高血压比例、血红蛋白含量相对更高(P<0.05);三组患者的总胆固醇、低密度脂蛋白、甘油三酯和高密度脂蛋白比较差异不显著(P>0.05),此外,分析患者的冠状动脉造影特点方面发现,在犯罪血管部位上,青年组的LAD(前降支)发病率明显高于其他两组,但老龄组的RCA(右冠状动脉)和LCX(回旋支)发病率占比最高,与其他两组比较差异显著(P<0.05),高龄组在三支血管病变发生率及Gensini评分方面明显高于中老年组和青年组,差异显著(P<0.05)。结论不同年龄急性冠脉综合征住院患者临床特征和冠脉造影特点不尽相同,其中老年更易发生三支病变和严重的血管狭窄,加强早期的诊疗和干预对患者的预后具有重要意义。
Objective To investigate the clinical characteristics and coronary angiographic characteristics of acute coronary syndrome(acs)inpatients in different age groups.Methods 873 patients with acute coronary syndrome who had received coronary angiography diagnosis and treatment in our hospital were selected as the study subjects from January 2017 to January 2019.According to different age levels,they were divided into senior group(≥80 years old,n=252),elderly group(45-79 years old,n=291)and youth group(<45 years old,n=330).The clinical features of all patients were retrospectively analyzed and their coronary angiography characteristics were analyzed.Results According to the analysis of the clinical characteristics of the three groups,smoking was significantly reduced in the elderly group and the middle-aged and elderly group compared with the youth group(P<0.05).The proportion of hypertension,hemoglobin and serum uric acid in the middle-aged and old group were significantly higher than those in the young group,but the proportion of hypertension and hemoglobin acid in the old group were relatively higher(P<0.05);there was no significant difference in total cholesterol,low-density lipoprotein,triglyceride and high-density lipoprotein among the three groups(P>0.05).In addition,the analysis of the coronary angiographic characteristics of the patients showed that the incidence of LAD(anterior descending branch)in the youth group was significantly higher than that in the other two groups,but the incidence of RCA(right coronary artery)and LCX(cyclotron branch)in the elderly group was the highest,which was significantly different from the other two groups(P<0.05).The incidence of three-vessel disease and Gensini score in the elderly group was significantly higher than that in the middle-aged and elderly group and the youth group(P<0.05).Conclusion the clinical characteristics and coronary angiography characteristics of hospitalized patients with acute coronary syndrome are different at different ages,in which elderly patien
作者
黄修献
李海涛
王圣
李斌
王裕岱
张力立
宋福成
HUANG Xiu-xian;LI Hai-tao;WANG Sheng;无(Department of Cardiology,Hainan Provincial Peoples Hospital,Haiko 570103.China;Out patient department of First Mobile Corps Hospital of the Armed Police,Dingzhou 073000,China)
出处
《中国实验诊断学》
2020年第8期1254-1257,共4页
Chinese Journal of Laboratory Diagnosis
关键词
不同年龄
急性冠脉综合征
临床特征
冠脉造影特点
different ages
Acute coronary syndrome
Clinical features
Coronary angiography
