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目的:分析老年冠心病临床特点,总结管理经验。方法:收治住院治疗老年冠心病患者60例纳入观察组,另选择同期门诊收治的症状控制较理想老年冠心病患者60例纳入对照组,进行问卷调查,相关指标检测。结果:观察组:疾病自知率63.33%、有心肌梗死发病史16.67%,因冠心病入院1-8次,平均(4.4±3.2)次,平均间隔时间(7.4±2.0)个月,接受过介入治疗8.33%,和2型糖尿病30.00%、高血压68.33%、脑卒中病史10.00%、脂肪肝10.00%、心房颤动5.00%、TC异常15.00%、TG异常13.33%、HDL异常50.00%、LDL异常30.00%、血糖控制不达标38.33%、血压控制不达标40.00%、吸烟5.00%;单支病变30.00%、双支病变35.00%、三支病变35.00%,稳定型心绞痛26.67%、不稳定型心绞痛25.00%、急性心肌梗死48.33%;观察组与对照组空腹血糖、低密度脂蛋白、心率、脉压、舒张压、CRP差异具有统计学意义(P<0.05)。结论:该院冠心病入院患者知信行水平欠佳,危险因素控制情况不容乐观,以急性心肌梗死入院者比重较高,许多患者间隔数月便入院1次,应提高危险因素管理水平。
Objective: To analyze the clinical features of elderly patients with coronary heart disease and to summarize the management experience. Methods: 60 hospitalized elderly patients with coronary heart disease were included in the observation group, and the other 60 patients with coronary heart disease were enrolled in the control group. The questionnaires and relevant indexes were used to detect the symptoms. Results: In the observation group, the rate of self-awareness of disease was 63.33%, the incidence of myocardial infarction was 16.67%, and the average duration of myocardial infarction was (4.4 ± 3.2) Interventional therapy 8.33%, Type 2 diabetes mellitus 30.00%, Hypertension 68.33%, Stroke history 10.00%, Fatty liver 10.00%, Atrial fibrillation 5.00%, TC abnormality 15.00%, TG abnormality 13.33%, HDL abnormality 50.00%, LDL abnormality 30.00%, blood glucose control is not up to standard 38.33%, blood pressure control is not standard 40.00%, smoking 5.00%; single vessel disease 30.00%, double vessel disease 35.00%, three vessel disease 35.00%, stable angina pectoris 26.67%, unstable angina pectoris 25.00 %, Acute myocardial infarction 48.33%; fasting blood glucose, low density lipoprotein, heart rate, pulse pressure, diastolic blood pressure and CRP in the observation group and the control group were statistically significant (P <0.05). Conclusion: The admission of patients with coronary heart disease in this hospital is poorly informed and the control of risk factors is not optimistic. The proportion of patients admitted to acute myocardial infarction is higher. Many patients are admitted to hospital once every several months. The management of risk factors should be improved.