中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2012年
1期
57-60
,共4页
曹剑%刘霖%李健%朱冰坡%丁宇%王浩%罗晓星%张亚晶%王玉堂%李小鹰
曹劍%劉霖%李健%硃冰坡%丁宇%王浩%囉曉星%張亞晶%王玉堂%李小鷹
조검%류림%리건%주빙파%정우%왕호%라효성%장아정%왕옥당%리소응
高血压,肺性%超声心动描记术,多普勒,彩色%危险冈素
高血壓,肺性%超聲心動描記術,多普勒,綵色%危險岡素
고혈압,폐성%초성심동묘기술,다보륵,채색%위험강소
Hypertension,pulmonary%Echocardiography,doppler,color%Risk factors
目的 评价老年住院患者拟诊肺动脉高压的现患率和可能的危险因素. 方法 1093例老年住院患者,年龄60～100岁,平均为(80.8±9.8)岁,常规进行彩色多普勒超声评价,肺动脉收缩压≥40 mm Hg(1 mm Hg=0.133 kPa)诊断为肺动脉高压,并收集相关临床资料和检验数据.结果 115例老年住院患者被诊断为肺动脉高压,老年住院患者肺动脉高压的现患率为10.5％,年龄85～100岁组肺动脉高压现患率为16.4％,高于其他年龄组.多因素回归分析结果显示,年龄(OR=1.085,95％CI:1.025～1.148,P=0.005)、左心室舒张功能障碍(OR=3.954,95％ CI:1.812～8.627,P=0.001)、右心室内径(OR=1.271,95％ CI:1.112～1.452,P=0.000)和左心房内径(OR=1.100,95％ CI:l.013～1.194,P=0.023)为老年住院患者发生肺动脉压的危险因素. 结论 老年住院患者肺动脉高压发生率较高,肺动脉高压更易发生在85岁及以上、左心室舒张功能障碍及右心室、左心房增大的患者.
目的 評價老年住院患者擬診肺動脈高壓的現患率和可能的危險因素. 方法 1093例老年住院患者,年齡60～100歲,平均為(80.8±9.8)歲,常規進行綵色多普勒超聲評價,肺動脈收縮壓≥40 mm Hg(1 mm Hg=0.133 kPa)診斷為肺動脈高壓,併收集相關臨床資料和檢驗數據.結果 115例老年住院患者被診斷為肺動脈高壓,老年住院患者肺動脈高壓的現患率為10.5％,年齡85～100歲組肺動脈高壓現患率為16.4％,高于其他年齡組.多因素迴歸分析結果顯示,年齡(OR=1.085,95％CI:1.025～1.148,P=0.005)、左心室舒張功能障礙(OR=3.954,95％ CI:1.812～8.627,P=0.001)、右心室內徑(OR=1.271,95％ CI:1.112～1.452,P=0.000)和左心房內徑(OR=1.100,95％ CI:l.013～1.194,P=0.023)為老年住院患者髮生肺動脈壓的危險因素. 結論 老年住院患者肺動脈高壓髮生率較高,肺動脈高壓更易髮生在85歲及以上、左心室舒張功能障礙及右心室、左心房增大的患者.
목적 평개노년주원환자의진폐동맥고압적현환솔화가능적위험인소. 방법 1093례노년주원환자,년령60～100세,평균위(80.8±9.8)세,상규진행채색다보륵초성평개,폐동맥수축압≥40 mm Hg(1 mm Hg=0.133 kPa)진단위폐동맥고압,병수집상관림상자료화검험수거.결과 115례노년주원환자피진단위폐동맥고압,노년주원환자폐동맥고압적현환솔위10.5％,년령85～100세조폐동맥고압현환솔위16.4％,고우기타년령조.다인소회귀분석결과현시,년령(OR=1.085,95％CI:1.025～1.148,P=0.005)、좌심실서장공능장애(OR=3.954,95％ CI:1.812～8.627,P=0.001)、우심실내경(OR=1.271,95％ CI:1.112～1.452,P=0.000)화좌심방내경(OR=1.100,95％ CI:l.013～1.194,P=0.023)위노년주원환자발생폐동맥압적위험인소. 결론 노년주원환자폐동맥고압발생솔교고,폐동맥고압경역발생재85세급이상、좌심실서장공능장애급우심실、좌심방증대적환자.
Objective To evaluate the prevalence and potential risk factors for pulmonary hypertension in the elderly hospitalized patients. Methods 1093 elderly hospitalized patients aged (80.8 ± 9.8) years were examined by Doppler echocardiography for evaluating pulmonary hypertension which defined by pulmonary artery systolic pressure (PASP)≥40 mm Hg (1 mm Hg=0.133 kPa).The relative clinical testing data were collected. Results 115 patients (10.5％) of the elderly patients were diagnosed as pulmonary hypertension.The prevalence of pulmonary hypertension in patients aged 85-100 years was 16.4％ (82/500),which was higher than in other ages. In the multivariate logistic regression analysis,age (OR=1.085,95％CI=1.025-1.148,P=0.005),left ventricular diastolic dysfunction (OR =3.954,95 ％ CI =1.812-8.627,P=0.001 ),internal diameter of right ventricle (OR=1.271,95％CI=1.112-1.452,P=0.000) and internal diameter of left atrium (OR=1.100,95％CI=1.013-1.194,P=0.023) were risk factors for pulmonary hypertension.Conclusions The prevalence of pulmonary hypertension is high in the elderly hospitalized patients,especially those aged 85 years and over,complicated with left ventricular diastolic dysfunction and enlargement of right ventricle and left atrium.
