中华老年多器官疾病杂志
中華老年多器官疾病雜誌
중화노년다기관질병잡지
CHINESE JOURNAL OF MULTIPLE ORGAN DISEASES IN THE ELDERLY
2014年
10期
768-770
,共3页
曹永生%唐念中%戴煌%倪竟全%朱爱华%慈书平
曹永生%唐唸中%戴煌%倪竟全%硃愛華%慈書平
조영생%당념중%대황%예경전%주애화%자서평
老年人%心脏瓣膜疾病%超声%多器官疾病%临床研究
老年人%心髒瓣膜疾病%超聲%多器官疾病%臨床研究
노년인%심장판막질병%초성%다기관질병%림상연구
aged%heart valve diseases%ultrasound%multiple organ diseases%clinicalstudy
目的：分析老年退行性心脏瓣膜病（SDHVD）与多器官疾病的发生状况。方法老年人3896例，男2884例，女1012例，年龄60～103（78±13）岁。所有研究对象均进行心脏彩超、体检、相关辅助检查，并对多器官疾病进行分析。结果3896例患者中，SDHVD1225例（31.4%），无SDHVD2671例（68.6%），SDHVD组与对照组多器官疾病的发病率分别为高血压病49.3%vs 28.4%，冠心病38.5%vs23.8%，心力衰竭36.2%vs 17.3%，肺心病6.3%vs 3.1%，脑卒中21.6%vs 9.6%，肾功能不全6.9%vs 3.2%，胃食管反流病21.3%vs 10.3%，两组比较差异均有统计学意义（P＜0.05），而糖尿病为11.2%vs 12.1%，两组比较差异无统计学意义（P＞0.05）。结论 SDHVD组多器官疾病显著增高，可能由于SDHVD心脏重构改变，血流动力学异常，促发了多器官疾病的发生。
目的：分析老年退行性心髒瓣膜病（SDHVD）與多器官疾病的髮生狀況。方法老年人3896例，男2884例，女1012例，年齡60～103（78±13）歲。所有研究對象均進行心髒綵超、體檢、相關輔助檢查，併對多器官疾病進行分析。結果3896例患者中，SDHVD1225例（31.4%），無SDHVD2671例（68.6%），SDHVD組與對照組多器官疾病的髮病率分彆為高血壓病49.3%vs 28.4%，冠心病38.5%vs23.8%，心力衰竭36.2%vs 17.3%，肺心病6.3%vs 3.1%，腦卒中21.6%vs 9.6%，腎功能不全6.9%vs 3.2%，胃食管反流病21.3%vs 10.3%，兩組比較差異均有統計學意義（P＜0.05），而糖尿病為11.2%vs 12.1%，兩組比較差異無統計學意義（P＞0.05）。結論 SDHVD組多器官疾病顯著增高，可能由于SDHVD心髒重構改變，血流動力學異常，促髮瞭多器官疾病的髮生。
목적：분석노년퇴행성심장판막병（SDHVD）여다기관질병적발생상황。방법노년인3896례，남2884례，녀1012례，년령60～103（78±13）세。소유연구대상균진행심장채초、체검、상관보조검사，병대다기관질병진행분석。결과3896례환자중，SDHVD1225례（31.4%），무SDHVD2671례（68.6%），SDHVD조여대조조다기관질병적발병솔분별위고혈압병49.3%vs 28.4%，관심병38.5%vs23.8%，심력쇠갈36.2%vs 17.3%，폐심병6.3%vs 3.1%，뇌졸중21.6%vs 9.6%，신공능불전6.9%vs 3.2%，위식관반류병21.3%vs 10.3%，량조비교차이균유통계학의의（P＜0.05），이당뇨병위11.2%vs 12.1%，량조비교차이무통계학의의（P＞0.05）。결론 SDHVD조다기관질병현저증고，가능유우SDHVD심장중구개변，혈류동역학이상，촉발료다기관질병적발생。
ObjectiveTo investigate senile degenerative heart valvular diseases (SDHVD) and multiple organ diseases. MethodsA multi-center study was carried out in somesanatoriums for retiredveterancadresand their couples from October 2008 to June 2014. There were 3896 elderly patients recruited (all with full medical records and undergoing overall physical examination every year), including2884males and1012females,with ageof(78±13) years (ranging from60 to 103 years). Clinical data of their echocardiography, physical examination, and auxiliary examination were collected and analyzed for multiple organ diseases.Results Among the 3896 elderly patients, there were 1225 having SDHVD (31.4%). The incidences of multiple organ diseases in the SDHVD group and non-SDHVD groupwere as follows respectively: hypertension 49.3%vs 28.4%, coronary heart disease 38.5%vs23.8%, heart failure 36.2%vs 17.3%, pulmonary heart disease 6.3%vs 3.1%, stroke 21.6%vs 9.6%, renal insufficiency 6.9%vs 3.2%,gastroesophageal reflux disease 21.3%vs 10.3%, and diabetes mellitus 11.2%vs 12.1%. Significant differences were found in all above incidences except for that of diabetes mellitus between the 2 groups (P<0.05).Conclusion Multiple organ diseasesare more common in the elderly suffering from SDHVD. It might be due tothatSDHVDinducescardiac remodelingandabnormalhemodynamics, and thus triggersthe occurrence and development of multiple organ diseases.
