汉族、维吾尔族、哈萨克族冠心病患者冠状动脉病变的临床研究

目的 探讨汉族、维吾尔族和哈萨克族冠心病患者冠状动脉病变的差异.方法 回顾性分析新疆生产建设兵团医院心内科2003年1月至2009年1月期间临床可疑冠状动脉疾病行冠状动脉造影确诊为冠状动脉疾病的病例1321例,按不同民族分为三组,其中汉族695例,维吾尔族523例,哈萨克族103例.结果 (1)三组冠状动脉病变主要累及血管依次为前降支、右冠状动脉、回旋支和左主干.(2)三组男性三支病变及双支病变比例均高于女性,单支病变低于女性.(3)哈萨克族患者三支病变(37.78％)高于维吾尔族(37.26％)和汉族患者(33.11％),哈萨克族单支病变及双支病变为32.25％和27.12％,维吾尔族为33.92％、28.74％,均低于汉族患者(分别为34.78％和28.94％).结论 (1)男性冠脉病变严重程度较相同年龄段女性重.(2)维吾尔族、哈萨克族冠心病患者的三支病变的发病率均较汉族高,冠脉病变严重程度均较汉族重.

Clinical study of the characteristics of coronary lesion in different clinical study of Chinese minority groups with coronary heart disease

Objective To study the difference of coronary artery lesion among Han,Uygur and Kazak Chinese minority patients with coronary artery disease.Methods 1321 patients with coronary artery disease were analyzed retrospectively in our hospital between January 2003 and Junuary 2009.According to different minority they were divided into three groups:the Uygur group(n=523),the Han group(n=695) and the Kazak group(n=103).Results(1) The involving culprit coronary artery lesions were anterior descending branch,right coronary artery,left circumflex branch and left main coronary artery in a descending order in all three minorities;(2) Among the three groups,tri-vessel and double-vessel disease rates of male patients were higher than female patients while single vessel disease rate were lower than female patients(P<0.05);(3) The incidences of tri-vessel disease was highest in the Kazak group(37.78%) lowesest(33.11%) in the Han group,and 37.26% in the Uygur group(P<0.05).The incidence of double-vessel disease rate and single vessel disease 32.25% and 27.12% in the Kazak group,33.92% and 28.74% in the Uygur group and 34.78% and 28.94% in the Han group respectively.Conclusions(1) Severity of coronary artery lesion in male patients were significantly more serious than those of the female patients;(2) The coronary artery lesions of Kazak and Uygur patients with coronary artery disease were more severe than the Han patients.