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不同血脂水平人群中心肌梗死事件的危险因素分析

焦震宇 李艳兵 郑美丽 蔡军 陈朔华 吴寿岭 杨新春 聂绍平 高尚梅

重庆医学2017,Vol.46Issue(14):1947-1949,3.
重庆医学2017,Vol.46Issue(14):1947-1949,3.DOI:10.3969/j.issn.1671-8348.2017.14.025

不同血脂水平人群中心肌梗死事件的危险因素分析

Risk factors of central myocardial infarction in patients with different lipid levels

焦震宇 1李艳兵 1郑美丽 1蔡军 1陈朔华 2吴寿岭 2杨新春 1聂绍平 3高尚梅4

作者信息

  • 1. 首都医科大学附属北京朝阳医院心脏中心,北京 100020
  • 2. 河北省唐山市开滦总医院心内科 063000
  • 3. 首都医科大学附属北京安贞医院心内科,北京 100029
  • 4. 重庆市第一人民医院心血管内科 400011
  • 折叠

摘要

Abstract

Objective To investigate the incidence of miocardial infarction and risk factors in patients with different levels TG.Methods From June 2006 to October 2007,Kailuan coal mine group conducted an on-the-job and retired workers were took physical examination in Kailuan area,and their results were used in our study(n=100 271).According to different levels of TG,all cases were divided into five groups(TG1-5):TG1 group(0.01<TG≤0.81)mmol/L,TG2 group(0.81<TG≤1.19)mmol/L,TG3 group(1.19<TG≤1.46)mmol/L,TG4 group(1.46<TG≤2.16)mmol/L and TG5 group(2.16<TG≤19.95)mmol/L.All patients were followed up for 7 years.Multivariate analysis was performed by Logistic regression method.Cox proportional hazards regression was used to analyze the influence of different levels of TG on the end point.Results Multivariate Logistic regression analysis showed that in high TG level population groups,the indicators including aged ≥65 years,BMI>25 kg/m2,FBG≥6.1 mmol/L,HDL-C<1.5 mmol/L were all the risk factors for myocardial infarction (P<0.05).Cox proportional hazards regression model showed that after adjustment for sex,age and other factors,with the increase in TG levels.Conclusion In study of Kailuan crowd,the increased fasting triglycerides increase the risk of myocardial infarction,and the risk factors for myocardial infarction are age,BMI,FBG and HDL-C.

关键词

心肌梗死/甘油三酯类/危险因素/全因死亡

Key words

myocardial infarction/triglycerides/risk factors/all-cause mortality

分类

医药卫生

引用本文复制引用

焦震宇,李艳兵,郑美丽,蔡军,陈朔华,吴寿岭,杨新春,聂绍平,高尚梅..不同血脂水平人群中心肌梗死事件的危险因素分析[J].重庆医学,2017,46(14):1947-1949,3.

基金项目

国家自然科学基金资助项目(81070166). (81070166)

重庆医学

1671-8348

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