早发冠心病患者临床危险因素及其与预后的关系

张诚1 ，王宝炜2

（1.陕西省铜川市耀州区人民医院，陕西 铜川，727100；2.陕西省宝鸡市陈仓区钓渭镇蜀仓卫生院，陕西 宝鸡，721304）

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摘要：

目的 探究早发冠心病患者临床危险因素，并分析其与预后的相关性。方法 从我院2015年7月至2016年7月收治的冠心病患者中随机抽选300例作为此次研究对象，其中，将确诊为早发冠心病的150例设为观察组，其余150例普通冠心病患者设为对照组。分别对两组患者临床危险因素与预后情况进行探究。结果 引发早发冠心病的主要临床危险因素包括高血压、遗传史、有吸烟史、纤维蛋白原与血红蛋白含量高、总胆固醇及甘油三酯含量高等；而造成早发冠心病患者不良预后的因
素主要包括患者有吸烟史、遗传史、高纤维蛋白原、高血红蛋白含量及高总胆固醇。结论 诱发早发冠心病的影响因素较多，医疗人员应帮助存在早发冠心病遗传病史患者严格控制以上高危因素，加强控烟宣传并对患者进行合理饮食指导干预，从而降低早发冠心病的发病率与致死率。

关键词：早发冠心病；高血压；纤维蛋白原；总胆固醇

中图分类号：R541.4文献标志码：A文章编号：2096-1413(2016)27-0043-02

Clinical risk factors of patients with premature coronary heart disease and its corretion with prognosis
ZHANG Cheng 1, WANG Bao-wei 2
(1. Yaozhou District People`s Hospital of Tongchuan, Tongchuan 727100; 2. Chencang District Diaowei Town Shucang Health Center,

Baoji 721304, China)

ABSTRACT: Objective To investigate the clinical risk factors of patients with premature coronary heart disease and analyze its correlation with prognosis. Methods Three hundred cases of patients with coronary heart disease admitted in our hospital from July 2015 to July 2016 were randomly selected as study objects. One hundred and fifty cases of patients diagnosed with premature coronary heart disease were classified as observation group, while the other 150 cases of patients with common coronary heart disease were classified as control group. The clinical risk factors and prognosis of the two groups were investigated. Results The major clinical risk factors of premature coronary heart disease included hypertension, genetic factor, smoking status, high level of fibrinogen content, high hemoglobin content, high total cholesterol content and high triglyceride content. Factors leading to poor prognosis of patients with premature coronary heart disease included smoking status, genetic factor, high fibrinogen content and high hemoglobin content and high total cholesterol content. Conclusion Many influence factors can induce patients with coronary heart disease to develop premature coronary heart disease. Thus, medical staff should help patients to control the high-risk factors, strengthen smoking control instruction and perform rational diet guide in order to reduce the morbidity and mortality of premature coronary heart disease.
KEYWORDS: premature coronary heart disease; hypertension; fibrinogen content; total cholesterol content

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