摘要
目的:探讨育龄女性急性冠脉综合征(ACS)的临床特点。方法:入选2007年12月～2012年9月在我院就诊的ACS患者469例,男性276例,女性193例,对其中育龄女性ACS患者的临床资料进行分析。结果:女性ACS患者中育龄女性患者比例显著低于男性ACS患者中青年男性患者比例(11.4%比17.0%,P<0.05);育龄女性ACS患者中不稳定型心绞痛、ST段抬高型心肌梗死、非ST段抬高型心肌梗死比例分别为50.0%、36.4%、13.6%,与青年男性53.2%、36.2%、10.6%相比,差异均无显著性(P>0.05);在育龄女性患者中,发病前存在高血压者13例(59.1%)、糖尿病9例(40.9%)、高血脂7例(31.8%)、冠心病家族史者10例(45.5%);与青年男性患比较,育龄女性患者中单支病变显著增多(48.9%比63.6%)、双支病变(34.2%比22.7%)、三支病变(12.8%比9.1%)显著减少,P均<0.05。结论:在急性冠脉综合征患者中,育龄女性患者比例较青年男性患者低,且病情较轻,但也要对这类患者进行积极干预。
Objective：To explore clinic characteristic of acute coronary syndrome（ACS）in women with reproductive age.Methods：A total of 469ACS patients admitted in our hospital from Dec 2007to Sep 2012were enrolled,including 276males and 193females.Clinical data of ACS female patients with reproductive age were analyzed.Results： Compared with percentage of young male patients in male ACS patients,there was significant decrease in percentage of female patients with reproductive age（17.0% vs.11.4%）in female ACS patients,P〈0.05;there were no significant difference in percentages of patients with unstable angina pectoris（50.0% vs.53.2%）,ST elevation myo-cardial infarction（STEMI,36.4%vs.36.2%） and non-STEMI（13.6%vs.10.6%） between female ACS patients with reproductive age and young male ACS patients,P〉0.05.There were 13cases（59.7%） with hypertension,nine cases（40.9%） with diabetes mellitus,seven cases（31.8%） with hyperlipidemia and 10cases（45.5%） with family history of coronary heart disease;Compared with young male patients,the single-vessel coronary disease significantly increased（48.9% vs.63.6%）,double-vessel coronary disease（34.2% vs.22.7%） and triple-vessel coronary disease（12.8%vs.9.1%） significantly decreased in female patients with reproductive age.Conclusion：Among patients with acute coronary syndrome,percentage of female patients with reproductive age is lower than that of young male patients,and their disease′condition is lighter,but active intervention also need in these patients in time.
出处
《心血管康复医学杂志》
CAS
2013年第3期212-214,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
女性
冠状动脉疾病
发病年龄
Female
Coronary artery disease
Age of onset
