The Influence Of The Consumption Of Smoking And Drinking,and Body Mass Index On The Coronary Heart Disease For The Population In Lanzhou

Objective To provide reference for carrying out and improving the prevention and control strategy of regional coronary heart disease (CHD), analyze the difference between patients with coronary heart disease and general population in smoking and drinking, body mass index and metabolic levels of serum homocysteine (Hcy), along with risk factors correlated to coronary heart disease in Lanzhou.Methods Collect data on a tertiary-care hospital in Lanzhou during May2011to July2012, the body mass index and the consumption of smoking and drinking patients with or without coronary heart disease (Case and control patients) of the same period of time, as well as related biochemical indexes of information to carry out case-control study and Pearson linear correlation analysis.Results①Compared with the control group, the abnormal index of serum total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C) and serum homocysteine (Hcy) were significantly higher in the case group (P<0.05);②The smoking rate (X2=33.157, P=0.000) and the over standard rate of BMI (X2=146.481, P=0.000) in the case group were markedly higher than the control group (P<0.01); The drinking rate (X2=0.013, P=0.910) in the case group was lower than the control group (P>0.05);③The number of constituent ratio at different smoking ages had no statistically significant differences (P>0.05);④BMI and TG and LDL-C were positively correlated (P<0.01).Conclusion Smoking, overweight or obese, TC, TG, LDL-C, Hcy are the main non-genetic factors of patients with coronary heart disease in Lanzhou, which suggests focusing on high-risk group with the consumption of smoking and drinking habits and a high BMI(especially excessive weight). The high-risk group reminds the regular follow-up periodic, monitors the related biochemical indicators of TG, TC、LDL-C、Hcy, and standardized drug treatment. According to the periodic monitoring of TG, TC, LDL-C, Hcy to be targeted health education, learned self-management and adjusted the intervention program.