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目的探讨飞行员冠心病的临床特点,并进行不同年龄危险因素分析。方法回顾性分析30例男性飞行员冠心病患者临床资料。结果 30例中有典型冠心病症状者9例,平板运动试验阳性或可疑阳性17例,合并≥3种危险因素者5例;A组(年龄<50岁)血清低密度脂蛋白胆固醇水平高于B组(≥50岁)(P<0.05),合并1种危险因素者少于B组(P<0.05),而有≥3种危险因素者多于B组(P<0.05)。结论飞行员冠心病发病年龄较普通人群早,以隐匿型冠心病为主;平板运动试验及危险因素评估是筛查飞行员隐匿型冠心病的有效手段;血清低密度脂蛋白胆固醇水平升高或合并多种危险因素时,可增加年轻飞行员冠心病患病风险。
Objective To investigate the clinical features of pilots coronary heart disease and analyze the risk factors of different ages. Methods The clinical data of 30 male pilots with coronary heart disease were retrospectively analyzed. Results Among the 30 cases, 9 cases had typical coronary heart disease symptoms, 17 cases were positive or suspicious of treadmill exercise test, 5 cases were associated with ≥3 risk factors. The serum LDL-C level in group A (age <50 years) Group B (≥50 years) (P <0.05). There were less risk factors in group B than those in group B (P <0.05), while those with ≥3 risk factors were more than those in group B (P <0.05). Conclusions The age of onset of coronary heart disease in pilots is earlier than that in the general population, mainly in occult coronary heart disease. The treadmill exercise test and risk factor assessment are effective methods for screening pilots with occult coronary heart disease. The levels of serum low density lipoprotein cholesterol are increased or merged more Risk factors for young pilots can increase the risk of coronary heart disease in young pilots.