老年人心绞痛与心肌梗塞危险因素分析

封康; 何耀; 倪彬; 王洁; 李小鹰

doi:10.11847/zgggws2006-22-04-12

老年人心绞痛与心肌梗塞危险因素分析

Analysis on risk factors of angina and miocardial infarctin in elderly people

摘要

摘要:
目的探讨老年人心绞痛与心肌梗塞危险因素的分布和异同。
方法在北京市万寿路地区60岁及以上的居民中, 整群随机抽取2 126人, 采用问卷调查及进行相关的血液检查。
结果多因素调整Logistic逐步回归分析结果显示, 心绞痛患者的危险因素为吸烟、升高的体质指数和血小板聚集率、冠心病家族史、高血压病史等; 而吸烟和血浆纤维蛋白升高则是心肌梗塞的危险因素。2种相关疾病间, 危险因素有所差别。
结论吸烟、高血压病史、冠心病家族史以及血浆纤维蛋白升高等因素对心绞痛或心肌梗塞的发生具有促进作用。

Abstract:
Objective To investigate the distribution and the differences of the risk factors of angina and miocar dial infarctin(MI)in elder ly.
Methods In a cross-sectional survey for angina and MI, 2 126 sunjects were selected from a clustered sample of the total population in 94 residential communities on the Wanshulu area, Beijing.Astandardized questionnaire was designed to collect information on the demographic characteristics.
Results The analysis of adjusted forward Logistic: the risk factors of angina and MI were smoking, higher body mass index(BMI), higher platelet aggregation rate, family history of coronary heart disease(CHD), the history of hypertension an current smoking, plasma fibrinogen respectively.And there were some differences between angina and MI.
Conclusion BMI, family history of CHD, history of hypertension and the plasma fibrinogen are risk factors of angina or MI.

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