目的 研究高血压患者合并冠心病的相关危险因素。方法 选取2016年1月~2018年2月期间收治156例高血压患者,根据患者的一般资料、肾功能相关指标以及血小板相关参数等临床资料,分析高血压患者合并冠心病的相关危险因素。结果 单纯高血压患者的年龄、吸烟史、饮酒史、血小板分布宽度、平均血小板体积、血尿酸水平与高血压合并冠心病患者比较,差异有统计学意义(P值均＜0.05)。多因素分析结果显示,年龄50岁及以上、有吸烟史、有饮酒史、平均血小板体积＞13 fL、血小板分布宽度＞20% 以及血尿酸大于正常值是高血压患者合并冠心病患者的危险因素(P＜0.05)。结论 高血压患者年龄50岁及以上、有吸烟史、有饮酒史、平均血小板体积＞13 fL、血小板分布宽度＞20% 以及血尿酸大于正常值可能增加高血压患者合并冠心病的风险。

Objective To study the risk factors of coronary heart disease in patients with hypertension. Methods A total of 156 patients with hypertension were selected from January 2016 to February 2018.According to the general data,renal function related indicators,platelet related parameters and other clinical data,the risk factors of hypertension patients with coronary heart disease were analyzed. Results Compared with patients with hypertension and coronary heart disease,the age,smoking history,drinking history,platelet distribution width,average platelet volume,blood uric acid level of patients with hypertension were significantly different (P＜0.05).The results of multivariate analysis showed that age 50 years and over,smoking history,drinking history,average platelet volume＞13 fL,platelet distribution width ＞ 20% and blood uric acid higher than normal were the risk factors of hypertension patients with coronary heart disease (P＜0.05). Conclusion Hypertension patients aged 50 years and over,smoking history,drinking history,average platelet volume＞13 fL,platelet distribution width＞20% and blood uric acid higher than normal may increase the risk of hypertension patients with coronary heart disease.