老年女性冠状动脉粥样硬化性心脏病临床特点分析.docVIP

老年女性冠状动脉粥样硬化性心脏病临床特点分析 　　作者：宋德明,乔锐,黄盛,程静芳　　作者单位：安庆市立医院，安徽医科大学附属安庆医院心内科 　　【摘要】 目的 探讨老年女性冠心病患者冠状动脉病变的影像特点及发病的危险因素与临床症状分析。方法 将2006～ 2009年经冠状动脉造影确诊为冠心病的60岁以上老年女性、老年男性与非老年女性患者，对其冠状动脉造影资料、危险因素与临床症状进行分析研究。结果 老年女性冠心病与老年男性无差别，病变以双支、三支病变为主，血管病变类型以B 、C型为主;老年女性、男性两组危险因素除吸烟外，高血压、糖尿病、高脂血症均无统计学意义，但临床症状老年女性不典型;而非老年女性冠心病血管病变以单支、双支为主，类型以A、B 型为主有明显的统计学意义;危险因素吸烟、高血压、糖尿病、高脂血症等均无统计学意义，临床症状老年女性与非老年女性一样不典型。结论 老年女性冠状动脉病变以双支、三支病变为主，类型以B 、C型为主，非老年女性冠心病血管病变以单支、双支为主，类型以A、B 型为主;影响老年女性冠状动脉病变危险因素与老年男性相似，老年女性与非老年女性临床症状均不典型。 　　【关键词】 老年,女性,冠心病,冠状动脉造影;临床特点 　　[Abstract] Objective To investigate the characteristics of the images of coronary artery lesion and the risk factors and clinical symptoms in old women with coronary artery disease.Methods Elderly women and elderly men over 60 years, and non-elderly female patients who were confirmed by coronary angiography for coronary heart disease from 2006 to 2009 were collected. Information about their coronary angiography, risk factors and clinical symptoms were analysed.Results Main lesions were two or three vessels, and the main vascular lesion types were type B and C in elderly women, and there was no difference compared with elderly men. Except smoking there were no differences about the risk factors including hypertension, diabetes mellitus and hyperlipidemia between elderly women and men ,but the clinical symptoms were no not typical in elderly women. While non-elderly women with coronary heart disease were mainl one or two vessels lesioned, and the main types were type A and B, and the difference was significant compared with elderly men. There were no differences on the risk factors of smoking, hypertension, diabetes mellitus and hyperlipidemia. And the clinical symptoms were no not typical in non-elderly women as well. mpact older women with risk factors for coronary artery disease is similar to older men, older women with non-elderly women are not the typical clinical symptoms.Conclusion There were mainly two or three vessels lesioned