张国宁,李伟,吴立荣
ZHANG Guoning,LI Wei,WU Lirong

• 1:贵州医科大学内科学教研室
• 2:贵州医科大学
• 3:贵州医科大学附院心血管内科

摘要(Abstract)：

目的:探讨老年心肌桥(MB)合并冠状动脉粥样硬化症临床特点及危险因素。方法:选择MB合并冠状动脉粥样硬化性心脏病患者191例;分为中青年组(<60岁,n=93)及老年组(≥60岁,n=98),比较2组患者性别、高血压病史、症状发作CCS分级、冠心病病史、糖尿病病史、心电图改变、冠脉造影结果、甘油三酯(TG)、胆固醇(CHOL)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL-C)及入院血糖,分析老年MB合并冠状动脉粥样硬化症危险因素。结果:中青年组与老年组患者症状发作CCS分级、冠心病病史、糖尿病病史、心电图改变、冠脉造影结果、TG、LDL-C及入院血糖差异无统计学意义(P>0.05);男性、高血压病史、吸烟史、CHOL、HDL-C是老年MB合并冠状动脉粥样硬化症危险因素(P<0.05)。结论:冠状动脉MB好发于前降支,男性、高血压病史、吸烟史、CHOL、HDL-C是影响老年MB合并冠状动脉粥样硬化症的危险因素。
Objective: To investigate the risk factors and clinical features of senile myocardial bridge with coronary atherosclerosis. Methods: A total of 191 patients with myocardial bridge with coronary atherosclerosis heart disease were divided into young and middle-aged( < 60 years old,n = 93) and senile group( ≥60 years old,n = 98). Comparing patients ' gender,history of hypertension,onset of CCS grade,history of coronary heart disease and diabetes,ECG changes,the result of coronary angiography,TG,CHOL,LDL – C,HDL-C and blood glucose of the two groups. Analyzing risk factors of senile myocardial bridge with coronary atherosclerosis. Results: There was no significant difference between young and middle-aged and senile group concerning gender,onset of CCS grade,history of coronary heart disease and diabetes,ECG changes,the result of coronary angiography,TG,LDL – C and blood glucose( P > 0. 05). Male,history of hypertension,smoking,CHOL and HDL-C were risk factors for senile group patients( P < 0. 05). Conclusion: Coronary myocardial bridge often happens in anterior descending branch. Male,history of hypertension,smoking,CHOL,HDL-C are risk factors of senile myocardial bridge with coronary atherosclerosis.

关键词(KeyWords)： 心肌桥;冠状动脉造影;冠状动脉粥样硬化;危险因素
myocardial bridge;coronary angiography;coronary atherosclerosis;risk factors

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 张国宁,李伟,吴立荣
ZHANG Guoning,LI Wei,WU Lirong

DOI: 10.19367/j.cnki.1000-2707.2015.07.024

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