本实验探讨老年冠心病患者的心血管病变特点及相关危险因素。
Toexplorethecharacteristicsandriskfactorsofagedpatientswithcoronaryheartdisease(CHD).选择年1月~年1月我院冠脉造影确诊的例冠心病患者，被分为老年组（68例，≥60岁）和中年组（62例，60岁）。探讨老年冠心病的特点，同时采用Logistic回归分析对冠心病的危险因素进行筛选。
AtotalofCHDpatients,whowerediagnosedbycoronaryangiographyinourhospitalfromJantoJan,weredividedintoagedgroup(n=68,≥60years)andmiddle-agedgroup(n=62,60years).CharacteristicsofCHDinagedpatientswereanalyzed,whileLogisticregressionanalysiswasusedtoscreenriskfactorsofCHD.老年组的冠脉病变≥2支病变者占85.3%，显著高于中年组的48.4%（P0.01）。通过Logistic回归分析得出：年龄、性别、高血压、糖尿病、血脂异常升高为老年冠心病的独立危险因素（OR=1.~2.，P均0.01）。其中性别为最明显独立相关因素（OR=2.，P0.）。
Thepatientswith≥double-vesselcoronarydiseaseoccupied85.3%inagedgroup,whichwassignificantmorethan48.4%ofmiddle-agedgroup（P0.01）.Logisticregressionanalysisindicatedthatage,gender,hypertension,diabetesmellitusandabnormallyelevatedbloodlipidlevelwereindependentriskfactorsforCHDinagedpatients(OR=1.~2.,P0.01all),andgenderwasthemostsignificantindependentriskfactor(OR=2.,P0.)amongthem.实验可知老年冠心病患者以冠状动脉多支病变为主，年龄、性别、高血压、糖尿病、血脂异常升高为老年冠心病的独立危险因素。
Coronaryarterydiseaseismainlypresentedasmulti-vesselcoronarydiseaseinagedpatientswithcoronaryheartdisease.Age,gender,hypertension,diabetesmellitusandabnormallyelevatedbloodlipidlevelareindependentriskfactorsforcoronaryheartdiseaseinagedpatients.作者：殷华勇
单位：医院老年病科
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