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绝经前女性冠心病患者的临床特点
引用本文:阴赪茜,李志忠,张京梅,王苏,陶英,孙涛.绝经前女性冠心病患者的临床特点[J].中国医刊,2008,43(7):22-24.
作者姓名:阴赪茜  李志忠  张京梅  王苏  陶英  孙涛
作者单位:首都医科大学附属北京安贞医院,北京,100029
摘    要:目的探讨绝经前女性冠心病的危险因素和临床特点,为女性冠心病的治疗和预防提供依据。方法连续入选2003~2007年因胸痛入院行冠状动脉造影(冠造)的绝经前女性患者396例。根据冠造结果分为冠心病组185例和对照组211例,回顾分析绝经前女性冠心病的危险因素、临床症状及其冠脉病变特点。结果冠心病组合并原发性高血压94例(50.8%)、2型糖尿病76例(41.1%),同时存在55例(29.7%)。对照组合并原发性高血压46例(21.8%)、糖尿病25例(11.8%),同时存在5例(2.3%)。两组比较差异有显著性(P<0.05)。冠状动脉CTA检查诊断绝经前女性冠心病的敏感性89.6%、特异性85.7%。41例急性心肌梗死患者有36例(87.8%)发生在月经期的3~7天内。冠造结果提示185例患者中单支病变89例(48.1%),双支病变39例(21.1%),3支病变31例(16.8%)。有138例(74.5%)患者行冠状动脉支架植入术、6例(3.2%)行球囊扩张术、34例(18.3%)患者行冠状动脉搭桥术。结论冠心病的发病率随年龄增加而逐步增加的趋势,而高血压、2型糖尿病是绝经前女性最重要的冠心病危险因素。冠状动脉...

关 键 词:冠状动脉疾病  绝经前期  冠状血管造影术  危险因素

Clinical profile of Coronary heart disease referred for coronary angiography in premenopausal women
YIN Cheng-qian,LI Zhi-zhong,ZHANG Jing-mei,WANG Su,TAO Ying,SUN Tao.Clinical profile of Coronary heart disease referred for coronary angiography in premenopausal women[J].Chinese Journal of Medicine,2008,43(7):22-24.
Authors:YIN Cheng-qian  LI Zhi-zhong  ZHANG Jing-mei  WANG Su  TAO Ying  SUN Tao
Affiliation:YIN Cheng-qian,LI Zhi-zhong*,ZHANG Jing-mei,WANG Su,TAO Ying,SUN Tao(Emergengcy Center,Beijing An zhen Hospital,Capital University of Medical Sciences,Beijing 100029,China)
Abstract:Objective To study the clinical characteristics of coronary heart disease(CHD) in premenopausal women,and to probe the more prevalent coronary atherogenic risk factors in order to prophylaxis.Methods Three hundred and ninty six premenopausal women with chest pain were divided into 2 groups according to the results of coronary angiography: women with angiographic CHD(n=185) and women with non-CHD as controls(n=211).The CAD risk factors,clinical symptom and coronary angiography characters were compared.Result...
Keywords:Coronary artery disease  premenopause  Coronary angiography  Risk factors  
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