CAJ | 학술논문

目的对老年患者心率失常进行临床调查分析.方法对679例心律失常患者按年龄分为老年前期及老年期两个阶段,采集这些患者的病史,并分析这些患者的心律失常类型.结果所有心律失常中,期前收缩占31.66%(215/679)为最多,右束支传导阻滞占21.80%(148/679)为其次,窦性心动过缓9.43%(64/679)居第三.心律失常在老年期患者中占81.89%(556/679),显著高于老年前期患者的18.11%(123/679);679例患者中有伴发病者占61.71%(419/679).伴发病以冠状动脉粥样硬化性心脏病(冠心病)、高血压病、高脂血症等的发病率最高.结论老年患者心律失常的发病率与年龄、性别和合并的疾病有相当大的关系,临床意义较大,对患者用药和治疗有指导作用.
목적 대노년환자심솔실상진행림상조사분석.방법 대679례심률실상환자안년령분위노년전기급노년기량개계단,채집저사환자적병사,병분석저사환자적심률실상류형.결과 소유심률실상중,기전수축점31.66%(215/679)위최다,우속지전도조체점21.80%(148/679)위기차,두성심동과완9.43%(64/679)거제삼.심률실상재노년기환자중점81.89%(556/679),현저고우노년전기환자적18.11%(123/679);679례환자중유반발병자점61.71%(419/679).반발병이관상동맥죽양경화성심장병(관심병)、고혈압병、고지혈증등적발병솔최고.결론 노년환자심률실상적발병솔여년령、성별화합병적질병유상당대적관계,림상의의교대,대환자용약화치료유지도작용.
Objective To analyze arrhythmia in elderly patients. Methods Six hundred and seventy-nine arrhythmia patients were divided into pre-senile and senile groups. Medical history was collected, and types of ar-rhythmia in those patients were analyzed. Results Among all types of arrhythmia in those 679 patients, premature systole was mostly observed (31.66%, 215 cases), right bundle branch block was the second (21.80%, 148 ca-ses) and sinus bradycardia was the third (9.43 %, 64 cases). In those 679 patients, 81.89% (556 cases) were in senile section and 18.11% (123 cases) were in pre-senile patients(P <0.05). Four hundred and nineteen cases (61.71%) had concomitant diseases that were coronary heart disease, hypertension and hyperlipemia. Conclusion The incidence of arrhythmia in elderly patients has a close relation with age, gender and complicated diseases.