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目的:探讨维吾尔族与汉族高血压伴冠心病(CHD)患者的冠状动脉(冠脉)病变特点。方法:回顾性分析600例维吾尔族与汉族高血压患者行选择性冠脉造影确诊为CHD的病历资料,对其冠脉病变特点加以对比研究;冠脉病变程度用病变部位、支数、分型及病变Gensini总积分表示。结果:维吾尔族组左回旋支病变发生率高于汉族组(59.5%∶46.0%,P<0.05),单支病变发生率明显低于汉族组(28.9%∶37.9%,P<0.05),而3支病变发生率显著高于汉族组(44.3%∶25.6%,P<0.05);维吾尔族组A型病变发生率明显低于汉族组(40.9%∶62.1%,P<0.05),而C型病变发生率显著高于汉族组(32.6%∶15.2%,P<0.05);维吾尔族组Gensini总积分高于汉族组[(43.1±33.0)∶(28.6±25.9),P<0.05]。结论:维吾尔族高血压伴CHD患者以3支病变率高,C型病变居多,冠脉病变程度较汉族患者严重。
Objective: To investigate the characteristics of coronary (coronary) lesions in patients with hypertension and coronary heart disease (CHD) between Uighur and Han nationality. Methods: A retrospective analysis of 600 cases of Uygur and Han patients with hypertension diagnosed by selective coronary angiography as CHD records of coronary artery lesions were compared to study the characteristics of coronary lesions with lesion location, count, type And lesion Gensini total score said. Results: The incidence of left circumflex artery in Uygur group was higher than that in Han nationality group (59.5% vs 46.0%, P <0.05). The incidence of single vessel disease was significantly lower than that in Han nationality group (28.9% vs 37.9%, P <0.05) The incidence of 3 lesions was significantly higher than that of Han (44.3%, 25.6%, P <0.05). The incidence of type A lesions in Uygur was significantly lower than that in Han (40.9%, 62.1%, P <0.05) The incidence of pathological changes was significantly higher in Han nationality group than in Han nationality group (32.6%, 15.2%, P <0.05). The total Gensini score in Uygur nationality group was higher than that in Han nationality group (43.1 ± 33.0), (28.6 ± 25.9), P <0.05. Conclusion: The prevalence of 3 lesions in Uighur hypertension patients with CHD is high, the majority of type C lesions and the severity of coronary artery disease are more serious in Han patients.