›› 2017, Vol. 2 ›› Issue (2): 51-54.

• 临床医学 • 上一篇    下一篇

滇西地区藏族冠状动脉造影128例临床分析

  

  1. (中国人民解放军第60中心医院心血管内科,云南大理671003)
  • 收稿日期:2016-01-04 出版日期:2017-02-15 发布日期:2017-02-15
  • 作者简介:陈宇,副主任医师,主要从事心血管内科相关研究.

Clinical Analysis of 128 Tibetan Patients' Coronary Arteriongraphy Data from Western Yunnan

  1. (The Department of Cardiology, The Sixtieth Central Hospital of PLA, Dali, Yunnan 671003, China)
  • Received:2016-01-04 Online:2017-02-15 Published:2017-02-15

摘要:

目的:对比分析藏族与汉族冠状动脉病变患者的临床资料,探讨藏族冠状动脉疾病的发病可能机制及有效防治方法。
方法:回顾性分析2007年7月至2014年6月行冠状动脉造影有冠脉病变的128例藏族患者和118位汉族患者的影像学资料及
相关临床资料。结果:藏族患者多支(≥2)病变患者比例(52.35%)显著高于汉族患者(37.29%)(P<0.05),汉族患者单支病变
者超过半数(62.71%);藏族患者冠脉扩张者(52.35%)显著高于汉族患者(33.05%)(P<0.05)。藏族患者肥胖和高血脂的比例
显著高于汉族患者(P<0.05)。藏族患者血小板计数[(262.37±70.56)109/L],显著高于汉族[(233.80±64.55)109/L](P<0.05)。
结论:藏族患者冠状动脉扩张发病率显著高于汉族,应注意控制体重及高血脂等危险因素。

关键词: 藏族, 冠状动脉造影, 冠状动脉扩张, 危险因素

Abstract:

Objective: To investigate the mechanism and prevention methods of Tibetan coronary artery patients by comparing the
clinical data of Tibetan and Han patients. Methods: From July 2007 to June 2014, 128 Tibetan and 118 Han patients received
coronary arteriongraphy in our hospital, and their imageology and clinical data was retrospectively analyzed. Results: The rate of
Tibetan patients(52.35%)with multiple branches(≥2)is significantly higher than that of Han patients(37.29%)(P<0.05).
62.71% of Han patients are with single branch affection. The amount of Tibetan patients with coronary artery ectasia(52.35%)is
significantly more than that of Han(33.05%)(P<0.05). The proportion of Tibetan patients with corpulence and hyperlipemia is
higher than Han(P<0.05). The platelet count of Tibetan patients[(262.37±70.56)109/L]is significantly higher than that of Han
[(233.80±64.55)109/L](P<0.05). Conclusion: The incidence of coronary artery ectasia of Tibetan is higher than Han, the risk factor
like overweight and hyperlipemia should be controlled.

Key words: Tibetan, coronary arteriongraphy, Coronary Artery Ectasia, risk factor

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