女性冠心病危险因素与近期心脏事件的随访研究
Risk factors for coronary artery disease and recent cardiac events in females:A follow-up study
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摘要: 目的 探讨女性冠心病危险因素的控制与近期心脏事件发生的关系。方法 对412例符合标准的冠心病患者进行长期随访,内容包括危险因素控制情况、各种心脏事件的发生,其中女性121例,男性291例。结果 女性患者年龄明显高于男性患者,且合并高血压、糖尿病、高脂血症的比率高于男性(P<0.05);女性氯吡格雷、阿司匹林的服用率高于男性,但高血压控制达标率低于男性(P<0.05);近期发生的心脏事件中,女性心绞痛发生率高于男性,心梗发生率低于男性(P<0.05)。结论 女性冠心病患者近期心脏事件中心绞痛、心梗的发生率与男性相比差异有统计学意义。Abstract: Objective To study the relation between control of risk factors for coronary heart disease and recent cardiac events in females. Methods Four hundred and twelve patients with coronary heart disease(121 females,291 males) were followed up for a long time.The follow-up contents included the control of risk factors and various cardiac events. Results The age of female patients was significantly higher than that of male patients(P<0.05).The incidence of complications,such as hypertension,diabetes mellitus,and hyperlipemia was higher while the control rate of hypertension was lower in female patients than in male patients(P<0.05).The administration rate of clopidogrel and aspirin was higher in female patients than in male patients(P<0.05).Of the recent cardiac events,the incidence of angina pectoris was higher while that of cardiac infarction was lower in female patients than in male patients(P<0.05). Conclusion The incidence of angina pectoris and cardiac infarction is significantly different between female and male patients.
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