目的 探讨腰围身高比值与冠状动脉粥样硬化性心脏病(冠心病)的关系.方法 选择86例疑为冠心病患者为研究对象,入院2d内,患者抽血完成相关的检查,以找出腰围身高比值与冠心病的关系.结果 腰围身高比值>0.50的患者与腰围身高比值≤0.50的患者比较,TG、TC、HDL-C、LDL-C、TG/HDL-C、LDL-C/HDL-C和UA均有显著性差异(P均<0.05),多因素Logistic分析发现:男性、LDL-C/HDL-C高和异常腰身指数是冠心病独立危险因素.结论 腰围身高比值可作为冠心病重要简易体表测量指标,同时外加简易生化指标能够更好地预测冠心病的发生.%Objective It is to investigate the relationship between waist-to-height ratio and coronary heart disease. Methods Eighty-six patients with suspected coronary heart disease were chosen as study subjects, then their blood was gotten to complete related examination within two days after hospitalization to find the relationship between abdominal obesity and coronary heart disease by analyzing waist-to-height ratio. Results There were significant differences in TG, TC, HDL - C, LDL -C , TG/HDL - C , LDL - C/HDL - C and UA between the patients with waist-to-height ratio >0. 50 and the ones with the ration≤ 0. 50( P <0. 05 ). Multivariate logistic analysis indicated that male, high LDL - C/HDL - C and anomaly girth index were independent risk factors for coronary heart disease. Conclusion Waist-to-height ratio is a simple thermometer surveying index for assessing coronary heart disease, and with other simple biochemieal indicators can better predicate coronary heart disease.
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