中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2012年
13期
62-65
,共4页
老年人%80以上%镁%心血管疾病%脑血管障碍
老年人%80以上%鎂%心血管疾病%腦血管障礙
노년인%80이상%미%심혈관질병%뇌혈관장애
Aged,80 and over%Magnesium%Cardiovascular diseases%Cerebrovascular disorders
目的 探讨年龄≥90岁的超高龄老人血镁水平及缺血性心脑血管疾病发生之间的关系.方法 回顾性分析150例年龄≥90岁的超高龄老年患者的血镁水平,比较患有缺血性心脑血管病及非心脑血管病患者血镁水平,并分析不同血镁水平患者缺血性心脑血管病患病率情况.结果 总血镁浓度为(0.839±0.144) mmol/L,不同年龄、性别组组间患者血镁浓度差异无统计学意义(均P＞0.05).缺血性心脑血管疾病总发生率为60.7％,其中发生心血管疾病、脑血管疾病、同时合并心脑血管疾病的概率分别为52.0％、39.3％、30.7％.除发生脑血管疾病患者血镁水平与未发生者组间差异无统计学意义外(均P＞0.05),发生心血管疾病者血镁水平低于未发生心血管疾病者、同时合并心脑血管疾病者血镁水平低于未发生心脑血管者,且组间差异均有统计学意义(均P ＜0.05).虽低镁血症患者发生心脑血管疾病的概率较正常血镁水平患者发生心脑血管疾病的概率要低,但组间差异无统计学意义(P＞0.05).结论 年龄≥90岁的超高龄缺血性心脑血管疾病患者血镁水平低于未罹患心脑血管疾病患者,因此,血镁可能参与年龄≥90岁的超高龄缺血性心脑血管疾病患者的发病及进展过程.
目的 探討年齡≥90歲的超高齡老人血鎂水平及缺血性心腦血管疾病髮生之間的關繫.方法 迴顧性分析150例年齡≥90歲的超高齡老年患者的血鎂水平,比較患有缺血性心腦血管病及非心腦血管病患者血鎂水平,併分析不同血鎂水平患者缺血性心腦血管病患病率情況.結果 總血鎂濃度為(0.839±0.144) mmol/L,不同年齡、性彆組組間患者血鎂濃度差異無統計學意義(均P＞0.05).缺血性心腦血管疾病總髮生率為60.7％,其中髮生心血管疾病、腦血管疾病、同時閤併心腦血管疾病的概率分彆為52.0％、39.3％、30.7％.除髮生腦血管疾病患者血鎂水平與未髮生者組間差異無統計學意義外(均P＞0.05),髮生心血管疾病者血鎂水平低于未髮生心血管疾病者、同時閤併心腦血管疾病者血鎂水平低于未髮生心腦血管者,且組間差異均有統計學意義(均P ＜0.05).雖低鎂血癥患者髮生心腦血管疾病的概率較正常血鎂水平患者髮生心腦血管疾病的概率要低,但組間差異無統計學意義(P＞0.05).結論 年齡≥90歲的超高齡缺血性心腦血管疾病患者血鎂水平低于未罹患心腦血管疾病患者,因此,血鎂可能參與年齡≥90歲的超高齡缺血性心腦血管疾病患者的髮病及進展過程.
목적 탐토년령≥90세적초고령노인혈미수평급결혈성심뇌혈관질병발생지간적관계.방법 회고성분석150례년령≥90세적초고령노년환자적혈미수평,비교환유결혈성심뇌혈관병급비심뇌혈관병환자혈미수평,병분석불동혈미수평환자결혈성심뇌혈관병환병솔정황.결과 총혈미농도위(0.839±0.144) mmol/L,불동년령、성별조조간환자혈미농도차이무통계학의의(균P＞0.05).결혈성심뇌혈관질병총발생솔위60.7％,기중발생심혈관질병、뇌혈관질병、동시합병심뇌혈관질병적개솔분별위52.0％、39.3％、30.7％.제발생뇌혈관질병환자혈미수평여미발생자조간차이무통계학의의외(균P＞0.05),발생심혈관질병자혈미수평저우미발생심혈관질병자、동시합병심뇌혈관질병자혈미수평저우미발생심뇌혈관자,차조간차이균유통계학의의(균P ＜0.05).수저미혈증환자발생심뇌혈관질병적개솔교정상혈미수평환자발생심뇌혈관질병적개솔요저,단조간차이무통계학의의(P＞0.05).결론 년령≥90세적초고령결혈성심뇌혈관질병환자혈미수평저우미리환심뇌혈관질병환자,인차,혈미가능삼여년령≥90세적초고령결혈성심뇌혈관질병환자적발병급진전과정.
Objective To observe the serum magnesium level in super-senior elder patients (age ≥ 90years) with ischemic cardiocerebrovascular diseases and investigate the relationship between serum magnesium and incidence of ischemic cardiocerebrovascular diseases.Methods The serum magnesium level of admitted 150 super-senior elder patients was analyzed retrospectively.The serum magnesium levels between patients with or without.ischemic cardioeerebrovascular diseases were compared,and the incident rates of cardiocerebrovascular diseases occurred in patients with different serum magnesium levels was also compared.Results Total level of serum magnesium was(0.839 ±0.144)mmol/L,and there was no significant difference in the levels of serum magnesium among groups which sub-grouped by different ages and gender ( both P ＞ 0.05 ).The total incident rate of cardiocerebrovascular diseases was 60.7％,and the incident rate of cardiovascular diseases,cerebrovascular diseases,and cardiovascular diseases and/or cerebrovascular diseases was 52.0％,39.3％ and 30.7％ respectively.The serum magnesium level in patients with cardiovascular diseases was significantly lower than those without cardiovascular diseases and also significantly lower in patients with cardiocerebrovascular diseases as compared with those without cardiocerebrovascular diseases ( both P ＜ 0.05 ),except in patients with cerebrovascular diseases as compared to those without cerebrovascular diseases ( P ＞ 0.05 ).Though the incident rate of cardiocerebrovascular diseases was lower in hypomagnesaemia group than that in normal magnesemia group,no significant difference was found between them (P ＞ 0.05).Conclusions The serum magnesium was lower in super-senior elder patients with ischemic cardiocerebrovascular diseases than those without cardiocerebrovascular diseases.Hence,the magnesium may involve in the onset and progressing of the isehemic cardiocerebrovascular diseases in the super-senior elder patients.
