CAJ | 학술논문

目的分析老年人晕厥的病因及影响其预后的因素.方法整理、归纳306例老年性晕厥患者的临床资料.结果老年性晕厥中心源性晕厥占44.1%,反射性晕厥占42.8%,脑源性晕厥占11.1%;晕厥反复发生者40例;晕厥发作时发生躯体意外伤害者58例;晕厥后1年内死亡36例,Logistic回归分析结果:年龄＞70岁,高血压病史、糖尿病病史、心脏病、无前驱症状及心电图异常与死亡关系密切.结论晕厥在老年人群中常见,以心源性晕厥居多,病死率高.年龄大于70岁、心脏病、心电图异常及晕厥时无前驱症状是晕厥预后不良的危险因素.
목적 분석노년인훈궐적병인급영향기예후적인소.방법 정리、귀납306례노년성훈궐환자적림상자료.결과 노년성훈궐중심원성훈궐점44.1%,반사성훈궐점42.8%,뇌원성훈궐점11.1%;훈궐반복발생자40례;훈궐발작시발생구체의외상해자58례;훈궐후1년내사망36례,Logistic회귀분석결과:년령＞70세,고혈압병사、당뇨병병사、심장병、무전구증상급심전도이상여사망관계밀절.결론 훈궐재노년인군중상견,이심원성훈궐거다,병사솔고.년령대우70세、심장병、심전도이상급훈궐시무전구증상시훈궐예후불량적위험인소.
Objective To investigate the clinical features of syncope in the elderly.Methods The clinical data of 306 elderly syncope cases were analyzed to sum up its causes and the influencing factors of prognosis.Results Of elderly syncopes,cardiogenic accounted for 44.1%,reflective for 11.1%.Syncope recurred in 58 patients.Syncope-related body traumatic injury occurred in 58 during attacks.36 patients died within 1 year after syncope.Conclusion Syncope is a common clinical event in elderly,most being cardiogenic,with a high mortality rate.Older than 70 years,heart diseases,ECG abnormalities and syncope without prezone symptoms are the risk factors of poor prognoses.