50岁以下绝经与未绝经女性冠心病患者冠状动脉病变特点和相关因素分析

doi:10.3969/j.issn.10073205.2018.10.002

河北医科大学学报

50岁以下绝经与未绝经女性冠心病患者冠状动脉病变特点和相关因素分析

1.昆明医科大学第二附属医院心内科，云南昆明 650101； 2.复旦大学附属中山医院心内科，上海 200003；
3.云南省大姚县人民医院急诊科，云南大姚 675400

出版日期:2018-10-25 发布日期:2018-09-27
作者简介:章然（1983-），男，纳西族，云南昆明人，昆明医科大学第二附属医院主治医师，医学硕士，从事心血管内科疾病诊治研究。

Characteristics and related factors of coronary artery disease in premenopausal and postmenopausal women under 50 years of age

1.Department of Cardiology, the Second Affiliated Hospital of Kunming Medical University， Yunnan
Province, Kunming 650101,China； 2.Department of Cardiology, Zhongshan Hospital, Fudan
University, Shanghai 200003, China； 3.Department of Emergency, Dayao County
People′s Hospital, Yunnan Province, Dayao 675400, China

Online:2018-10-25 Published:2018-09-27

摘要/Abstract

摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗分析50岁以下绝经与未绝经女性冠心病患者冠状动脉病变特点和相关因素。
〖HTH〗方法〖HTSS〗〖KG*2〗选取冠状动脉造影证实为冠心病的50岁以下女性患者154例，其中绝经组46例和未绝经组108例。对比分析2组冠心病患者冠状动脉病变特点和相关因素。
〖HTH〗结果〖HTSS〗〖KG*2〗未绝经组既往有糖尿病者少于绝经组，吸烟和有冠心病家族史者多于绝经组，未绝经组三酰甘油低于绝经组，未绝经组以单支血管病变为主，而绝经组以多支血管病变为主，差异均有统计学意义(P＜005）。
〖HTH〗结论〖HTSS〗〖KG*2〗冠状动脉疾病在未绝经妇女中并不罕见，发病率增加，但在临床实践中往往被低估，故在临床工作中不能忽视。

关键词: 冠心病, 绝经前期, 绝经期

Abstract: ［Abstract］ Objective〖HTSS〗〓To analyze the features of coronary artery disease and releated factors for postmenopausal and premenopausal women aged below 50 with coronary heart disease.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓One hundred and fiftyfour female patients who were aged below 50 and diagnosed with coronary heart disease by coronary arteriography were divided into postmenopausal group(46 women) and premenopausal group(108 women). The features of coronary artery disease and releated factors for 2 groups of patients were compared and analyzed.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The age of the menopausal group was higher than that of the nonmenopausal group(P＜001). Premenopausal group had less diabetes than the menopausal group, more smoking and more family history of coronary heart disease. Triacylglycerol in the premenopausal group was lower than that in the menopausal group. The premenopausal group was dominated by singlevessel disease, while the menopausal group was dominated by multivessel disease, and the difference was statistically significant(P＜005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Coronary artery disease is not uncommon in premenopausal women with an increased incidence, but it is often underestimated in clinical practice and cannot be ignored in clinical work.

Key words: coronary disease, premenopause, menopause

章〓然1，姚〓康2*，王〓平3，陆健斐1，郑清文1. 50岁以下绝经与未绝经女性冠心病患者冠状动脉病变特点和相关因素分析[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2018.10.002.

ZHANG Ran1,YAO Kang2*, WANG Ping3, LU Jianfei1,ZHENG Qingwen1. Characteristics and related factors of coronary artery disease in premenopausal and postmenopausal women under 50 years of age[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2018.10.002.

[1]	马茴煌, 李姚娜, 王康, 杨慧宇. 网膜素1水平对于冠状动脉粥样硬化性心脏病疾病程度的相关性研究 [J]. 河北医科大学学报, 2023, 44(8): 888-893.
[2]	王文琦, 丁海霞, 张涛 . 度拉糖肽对2型糖尿病合并冠心病患者心肌缺血总负荷及内皮功能的影响 [J]. 河北医科大学学报, 2023, 44(5): 521-525.
[3]	田梅梅, 李敏, 刘岩, 徐静, 李玉坤, 支忠继. 2型糖尿病合并冠心病患者血浆半乳糖凝集素3水平及相关因素研究 [J]. 河北医科大学学报, 2023, 44(4): 402-406.
[4]	胡植双, 王健美, 赵岩亮. 心血管疾病中IVUS-VH斑块特征与CTRP9、SAA及Hcy的关系 [J]. 河北医科大学学报, 2023, 44(2): 194-198.
[5]	申太忠, 李宝, 谢灵争, 王淑荔. 超低剂量宽探测器CT扫描模式在冠状动脉CTA检查患者中的应用价值[J]. 河北医科大学学报, 2022, 43(2): 203-207.
[6]	张建月, 吴秋花, 郑艳, 沈延梅. 心脏超声与心肌血流储备分数诊断冠心病心肌缺血的价值 [J]. 河北医科大学学报, 2022, 43(10): 1188-1191.
[7]	赵洁, 李淑英, 张英, 单伟超, 韩冷, 丁振江. 低密度脂蛋白胆固醇与中青年冠心病患者冠状动脉病变程度的相关性分析[J]. 河北医科大学学报, 2021, 42(3): 278-280,285.
[8]	杨熹, 俞立波, 李莉. 利拉鲁肽联合替格瑞洛对2型糖尿病合并冠心病血清Vaspin及Ghrelin的影响[J]. 河北医科大学学报, 2021, 42(2): 140-144.
[9]	刘德敏, 马雅楠, 谷国强. 最新药物涂层球囊专家共识解读[J]. 河北医科大学学报, 2021, 42(11): 1241-1244,1260.
[10]	王泽静1，王询2，肖康1 . CT冠状动脉造影不同对比剂用量对冠状动脉及冠状静脉窦的价值体会[J]. 河北医科大学学报, 2020, 41(9): 1007-1010,1046.
[11]	王世杰，李珊，王晓纲，李璞，魏庆民. 绝经前女性CHD患者激素水平与其血浆CTRP3、免疫球蛋白水平及冠状动脉斑块稳定性的关系[J]. 河北医科大学学报, 2020, 41(9): 1016-1019,1038.
[12]	王艳平1，何翔1，张磊2，刘超1*，王燕1，王佳3. 颈动脉超声对冠心病的临床诊断研究#br#[J]. 河北医科大学学报, 2020, 41(4): 477-480.
[13]	张亚楠1，孙锋英1，王月敏1，赵伟进1，张淑丽2. 丹红注射液对糖尿病合并冠心病患者胰岛素抵抗、内皮功能、炎症因子、心血管事件的影响[J]. 河北医科大学学报, 2020, 41(3): 282-286.
[14]	王世杰, 刘瑞涛, 姚丽梅, 程敏菊, 魏庆民. 绝经期前女性冠心病患者激素水平与血浆炎症标记物和冠状动脉斑块稳定性相关性研究[J]. 河北医科大学学报, 2020, 41(12): 1389-1392,1449.
[15]	刘子腾，吴瑞锋，杨炜琦，张雪莲，周伯良. 杂交冠状动脉血运重建术在冠心病治疗中的应用价值[J]. 河北医科大学学报, 2019, 40(6): 667-670.

50岁以下绝经与未绝经女性冠心病患者冠状动脉病变特点和相关因素分析

Characteristics and related factors of coronary artery disease in premenopausal and postmenopausal women under 50 years of age

HTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价