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时间:2020-05-14
《老年慢性心力衰竭的病因、心衰类型及心功能的临床分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、泰山医学院学报JOURNALOFTAISHANMEDICALCOLLEGEVo1.36N32015老年慢性心力衰竭的病因、心衰类型及心功能的临床分析聂蓉晖吕秀花刘笑南(泰山医学院附属泰山医院,山东泰安271000)摘要:目的回顾性分析224例老年慢性心衰患者的病因构成、心衰类型及心功能特点。方法全部患者以年龄6069岁、70~79岁、≥8O岁分为3组,比较分析不同年龄阶段患者病因、伴随疾病、心衰类型(收缩功能减退、舒张功能减退、混合性减退)及心功能(NYHA分级)情况,收集心衰指标(多次住院患者以最后一次为准)E/A、LVEF(%)、
2、LAD(rain)、LVDd(mm)。结果老年慢性心衰患者在基础疾病、伴随疾病、心衰类型、心功能评级、超声心动图及多病因组成等方面,三组间差异有显著意义。结论老年慢性心衰患者主要以冠心病、高血压、肺心病等为主要基础疾病,以慢性阻塞性肺疾病、心律失常、糖尿病等为主要伴随疾病;心衰类型主要以舒张性心衰为主,心功能以Ⅲ级为主:老年慢性心衰患者存在明显的多病因性,在治疗上应进行多元化及个体化防治。关键词:老年人;慢性心力衰竭;多病因;心功能中图分类号:R541.6文献标识码:A文章编号:1004-7115(2o15)03-0282-04doi
3、:10.3969/j.issn.1004-7115.2015.03.015Clinicalanalysisoftheetiology,categoryandcardiacfunctionofchronicheartfailureintheeldlyNIERong—huiLVXiu—huauUXiao—nan(CentralHospitalofTaianCity,Taian271000,China)Abstract:Objective:Toretrospectivelyanalyzetheetiology,categoryandcard
4、iacfunctionof224elderlypatientswithchronicheartfailure.Methods:Allpatientsweredividedintothreegroups:60—69,7O一79,andabove80yearsold.Thediferentage—stagesofetiology,concomitantdiseasesandcategoryofheartfailure(systolicheartfailure,diastolicheartfailure,mixedheartfailure)
5、andcardiacfunction(NYHAclassification)wereanalyzed.Andtheheaafailuremarks(hos-pitalizedpatientswillbesubjecttothelasttimemanytimes)suchasE/A,LVEF(%),LAD(mm)andLVDd(nmOwereeoleetd.Results:Elderlypatientswithchronicheanfailureinthebasicdiseases,concomitantdiseases,categor
6、yofheartfailure,cardiacfunctionrating,echocardiographyandconstituentfeaturesofthemultifactor,hadasigTtifieantdifemneebetweenthethreegroups.Conclusion:Inelderlypatientswithchronicheartfailurethepredominantbasicdiseasesarecoro-naryheartdisease(CHD),pulmonaryheartdisease(P
7、肋)andhypertensionetc.Andtheirconcomitantdiseasesmainlyarechronicobstructivepulmonarydisease(COPD),cardiacarrhythmiaanddiabetes.Heartfailurecategoryismainlyeomoposedofdiastolicheanfailure.andcardiacfunctionismostlyNYHAII1.Mostoftheelderlypatientswithchronicheartfailurear
8、ecausedbymultipleetiologicalfactors,whoshouldbegivenmultipleandcharacterizedpreventionandtreatmentaccordingtot
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