中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
15期
2248-2249
,共2页
心律失常%临床特征%老年人
心律失常%臨床特徵%老年人
심률실상%림상특정%노년인
Arrhythmia%Clinical features%Aged
目的 研究老年人心律失常的临床特征及发病的相关因素.方法 选择老年心律失常患者658例,均经常规心电图或动态心电图检查确诊,观察患者心律失常的发生率,分析不同年龄段老年患者心律失常类型及不同年龄段患者(≥80岁及＜80岁)基础疾病情况.主要包括高血压、冠心病、慢性阻塞性肺疾病、糖尿病、恶性肿瘤及其他基础疾病.结果 658例老年患者中心房纤颤检出率19.0％ (241/1 266),室性期前收缩17.0％ (215/1 266).≥80岁组窦性心律失常、室性心律失常检出率与＜80岁组差异具有统计学意义(P＜0.05).658例老年患者共合并976种基础疾病,入选的每位老年患者均存在1种或1种以上的基础疾病,居于前5位的分别为高血压18.6％(182/976)、冠心病16.9％ (165/976)、慢性阻塞性肺疾病15.1％(147/976)、糖尿病14.3％ (140/976)、恶性肿瘤11.1％(108/976),其他基础疾病24.0％(234/976).≥80岁组合并多种基础疾病者50.8％(123/242),与＜80岁组的24.5％(102/416)差异具有统计学意义(P＜0.05).结论 老年患者由于存在不同程度的基础疾病及自身功能退化,容易发生多种不同类型的心律失常,在临床诊疗中要引起足够的重视,早发现早干预,以提高老年患者生活质量.
目的 研究老年人心律失常的臨床特徵及髮病的相關因素.方法 選擇老年心律失常患者658例,均經常規心電圖或動態心電圖檢查確診,觀察患者心律失常的髮生率,分析不同年齡段老年患者心律失常類型及不同年齡段患者(≥80歲及＜80歲)基礎疾病情況.主要包括高血壓、冠心病、慢性阻塞性肺疾病、糖尿病、噁性腫瘤及其他基礎疾病.結果 658例老年患者中心房纖顫檢齣率19.0％ (241/1 266),室性期前收縮17.0％ (215/1 266).≥80歲組竇性心律失常、室性心律失常檢齣率與＜80歲組差異具有統計學意義(P＜0.05).658例老年患者共閤併976種基礎疾病,入選的每位老年患者均存在1種或1種以上的基礎疾病,居于前5位的分彆為高血壓18.6％(182/976)、冠心病16.9％ (165/976)、慢性阻塞性肺疾病15.1％(147/976)、糖尿病14.3％ (140/976)、噁性腫瘤11.1％(108/976),其他基礎疾病24.0％(234/976).≥80歲組閤併多種基礎疾病者50.8％(123/242),與＜80歲組的24.5％(102/416)差異具有統計學意義(P＜0.05).結論 老年患者由于存在不同程度的基礎疾病及自身功能退化,容易髮生多種不同類型的心律失常,在臨床診療中要引起足夠的重視,早髮現早榦預,以提高老年患者生活質量.
목적 연구노년인심률실상적림상특정급발병적상관인소.방법 선택노년심률실상환자658례,균경상규심전도혹동태심전도검사학진,관찰환자심률실상적발생솔,분석불동년령단노년환자심률실상류형급불동년령단환자(≥80세급＜80세)기출질병정황.주요포괄고혈압、관심병、만성조새성폐질병、당뇨병、악성종류급기타기출질병.결과 658례노년환자중심방섬전검출솔19.0％ (241/1 266),실성기전수축17.0％ (215/1 266).≥80세조두성심률실상、실성심률실상검출솔여＜80세조차이구유통계학의의(P＜0.05).658례노년환자공합병976충기출질병,입선적매위노년환자균존재1충혹1충이상적기출질병,거우전5위적분별위고혈압18.6％(182/976)、관심병16.9％ (165/976)、만성조새성폐질병15.1％(147/976)、당뇨병14.3％ (140/976)、악성종류11.1％(108/976),기타기출질병24.0％(234/976).≥80세조합병다충기출질병자50.8％(123/242),여＜80세조적24.5％(102/416)차이구유통계학의의(P＜0.05).결론 노년환자유우존재불동정도적기출질병급자신공능퇴화,용역발생다충불동류형적심률실상,재림상진료중요인기족구적중시,조발현조간예,이제고노년환자생활질량.
Objective To study the clinical characteristics and the related factors of elderly arrhythmia.Methods 658 elderly patients with cardiac arrhythmia who were confirmed by the conventional ECG or Holter were chosen.Their arrhythmia type and related factors were analyzed.Results Among 658 cases of elderly patients,atrial fibrillation accounted for the highest rate(19.0％,241/1 266),followed by ventricular contraction of 17.0％ (215/ 1 266).The detection rate of sinus arrhythmia,ventricular arrhythmia was significantly different between ≥ 80 age group and ＜ 80 years old group of elderly patients (P ＜ 0.05).The 658 elderly patients had a total of 976 kinds of underlying disease,every elderly patient had one or more than one underlying disease.The top five underlying diseases were hypertension 18.6％ (182/976),coronary heart disease 16.9％ (165/976),chronic obstructive pulmonary disease 15.1％ (147/976),diabetes 14.3％ (140/976),malignant tumors 11.1％ (108/976),other underlying disease 24.0％ (234/976).In ≥ 80-years-old group,50.8％ (123/242) patients complicated with a variety of underlying diseases,which was significantly higher than that of ＜ 80-years-old group 24.5％ (102/416) (P ＜ 0.05).Conchluion Elderly patients due to the presence of different levels of underlying diseases and function degradation,prone to a variety of different types of arrhythmias,which should attract enough attention in clinical diagnosis and treatment,early detection and early intervention,in order to improve the quality of life of elderly patients.
