广西壮族冠心病病人临床特点及冠脉病变影像学特征.docVIP

???? 广西壮族冠心病病人临床特点及冠脉病变影像学特征 ???? ????【摘要】　目的　观察广西当地壮族冠心病病人的发病危险因素、临床和影像学特征。方法　通过对近年我院经冠脉造影确诊冠心病的病人进行分析，比较广西当地壮族冠心病人与当地汉族冠心病人的发病危险因素，临床特征和影像学特点。结果　广西壮族冠心病的危险因素如吸烟、高血压、高甘油三酯与汉族病人相比并无差异，但壮族病人的发病年龄较轻，不稳定型心绞痛、心肌梗死和单支病变的比例高于汉族病人。结论　广西壮族冠心病的发病和临床及影像学有自己的特点，这可能是环境因素与特殊的遗传因素相互作用的结果。　　【关键词】　冠心病　危险因素　冠状动脉造影 The clinical and the angiographic characteristics of the Zhuang patients with coronary heart disease in southern China Zhu Jijin, Zhu Shanjun, Zhao Dingqing, et al.（The Cardiovascular Institute of the First Affiliated Hospital of Guangxi Medical University, Nanning 530021） 　　【Abstract】　Objective　To evaluate the risk factors and clinical and the coronary angiogrphic characteristics of the Zhuang patients with CHD. Method　We made detail comparison between the Zhuang and Han patients with CHD on the risk factors, clinical and coronary angiographic features. Result　Two group of patients almost share the same level of environmental risk factors such as the ratio of hypertension, smoking, overweight and the level of blood pressure, blood lipid and sugar and what is the difference is the ratio of positive CHD family history, they also shown marked difference in the clinical signs and coronary angiographic features. Conclusion　The Zhuang patients with CHD demonstrated some distinct characteristics to Han patients which may be the results of the complicated effects of environmental and the hereditary factors.　　【Key words】　Coronary disease Risk factors Coronary angiography 　　流行病学调查表明广西地区壮族人群是我国冠心病发病率低发人群之一［1］，生理和病理形态学资料也显示该地区正常人的动脉和冠心病人的冠状动脉的结构与高发区不同［2，3］，但目前尚缺乏这方面的临床资料，为此我们总结了我院几年来经冠状动脉造影证实的广西壮族冠心病病人的资料并与该地区的汉族冠心病病人进行对比，探讨该地区壮族冠心病病人的发病危险因素和临床及冠脉病变影像学特点。 资料与方法 　　一、对象：因怀疑或临床确诊为冠心病病人到我院进行冠脉造影，最后确诊冠心病者共106例病人，按出生的民族分为：壮族46例(男40例，女6例)，汉族60例(男55例，女5例)。患肝肾疾病者除外，常规病史和体格检查，高血压病史是指既往有明确的高血压病史或入院后三次非同日血压≥140/90 mmHg，血压水平取入院后三天的平均水平，此外还特别注意吸烟量(支/天)、体力劳动(活动)情况，体重指数(BMI)为：体重(kg)/身高(m)2。　　二、方法：　　1.冠造：采用Juldking技术，选择多个体位进行左右冠脉投影，对其DSA记录和点片分析，至少一支主要冠脉或其主要分支内径出现≥50%的狭窄即可诊断为冠心病，否则除外诊断。　　2.血液