摘要
目的探讨心脏神经官能症与不稳定型心绞痛临床指标的区别,为临床鉴别诊断提供依据。方法选取南宁市第一人民医院(广西医科大学第五附属医院)自2013年1月~2020年6月因心悸、胸痛等心脏不适症状在该医院住院行冠状动脉造影术的6393名患者,筛选年龄40~75岁,临床诊断明确为不稳定型心绞痛以及心脏神经官能症的女性患者进行回顾性研究。分析其一般资料及临床指标。结果研究纳入478例对象,其中神经官能症患者270例,占56.49%,不稳定型心绞痛患者208例,占43.51%。单因素对比发现两组之间的血红蛋白、血糖、肌酐、尿素氮、尿酸、C反应蛋白、乳酸脱氢酶、钠、氯、钙、谷丙转氨酶、总蛋白、白蛋白、肌酸磷酸激酶同工酶、白球比值、总胆固醇、甘油三酯、高密度脂蛋白胆固醇水平不同,差异均有统计学意义(P<0.05)。经多因素分析校正了其他因素后,发现年龄、空腹血糖、高血压病史、C反应蛋白、肌酸磷酸激酶同工酶、高密度脂蛋白胆固醇是具有统计学意义的独立危险因素。结论年龄、空腹血糖水平、高血压病史、C反应蛋白、肌酸磷酸激酶同工酶、高密度脂蛋白胆固醇水平可以作为临床医生鉴别中老年女性患者不稳定心绞痛和心脏神经官能症的重要依据。
Objective To explore the difference of clinical parameters between cardiac neurosis patients and unstable angina patients with similar clinical symptoms.Methods The patients who underwent coronary angiography in Nanning first people’s Hospital(the Fifth Affiliated Hospital of Guangxi Medical University)from January 2013 to June 2020 due to heart palpitation,chest pain and other cardiac discomfort symptoms were selected as the research objects,and the female patients who were definitely diagnosed as cardiac neurosis and unstable angina were selected for retrospective study. Results 478 subjects were included in the study,including 270 patients with neurosis(56.49%)and 208 patients with unstable angina(43.51%).Single factor comparison showed that the levels of hemoglobin,blood glucose,creatinine,urea nitrogen,uric acid,C-reactive protein,lactate dehydrogenase,Na,Cl,CA,alanine aminotransferase,total protein,albumin,creatine phosphokinase isoenzyme,white blood cell ratio,total cholesterol,triglyceride,high-density lipoprotein cholesterol were different between the two groups.After adjusting for other factors by multivariate analysis,we found that age,fasting blood glucose,history of hypertension,C-reactive protein,creatine phosphokinase isoenzyme and high-density lipoprotein cholesterol were independent risk factors with statistical significance. Conclusion Age,fasting blood glucose level,history of hypertension,C-reactive protein,creatine phosphokinase isoenzyme,high-density lipoprotein cholesterol level can be used as an important basis for clinicians to identify unstable angina and cardiac neurosis.
作者
黄臻
吴青
李先锋
郑延松
潘伟川
Huang Zhen;Wu Qing;Li Xianfeng(Department of Cardiology,Qingxiu Physical Examination Department,Nanning First People's Hospital,the Fifth Affiliated Hospital of Guangxi Medical University,Nanning 530022,China)
出处
《中华保健医学杂志》
2021年第4期330-333,共4页
Chinese Journal of Health Care and Medicine
基金
广西医药卫生科研课题(Z20180671)
广西南宁市科学研究与技术开发计划(20193092)
广西南宁市青秀区科技计划(2018028)。
