心血管康复医学杂志
心血管康複醫學雜誌
심혈관강복의학잡지
JOURNAL OF CARDIOVASCULAR REHABILITATION MEDICINE
2015年
1期
57-59
,共3页
心脏瓣膜疾病%心力衰竭%心律失常
心髒瓣膜疾病%心力衰竭%心律失常
심장판막질병%심력쇠갈%심률실상
Heart valve diseases%Heart failure%Arrhythmia
目的：探讨老年退行性心脏瓣膜病（SDHVD）合并心力衰竭（HF）的临床特点。方法：选择68例 SDHVD 合并 HF的患者（SDHVD＋HF 组）与同期收治的无瓣膜钙化的老年 HF 患者62例（HF 对照组）进行临床分析研究。结果：与 HF对照组比较，SDHVD＋HF 组严重心功能不全比例（III 级：19.35％比38.24％，IV 级：35.49％比55.88％）及房性早搏（17.74％比38.24％）、窦房传导阻滞（22.58％比50.00％）、心房纤颤（27.42％比52.94％）、短阵房性心动过速（30.65％比48.53％）、房室传导阻滞（33.87％比52.94％）、束支传导阻滞（25.81％比48.53％）发生率均明显升高（P ＜0.05或＜0.01）。结论：老年退行性心脏瓣膜病患者合并心力衰竭时，其心力衰竭的程度加重，心律失常发生率升高。
目的：探討老年退行性心髒瓣膜病（SDHVD）閤併心力衰竭（HF）的臨床特點。方法：選擇68例 SDHVD 閤併 HF的患者（SDHVD＋HF 組）與同期收治的無瓣膜鈣化的老年 HF 患者62例（HF 對照組）進行臨床分析研究。結果：與 HF對照組比較，SDHVD＋HF 組嚴重心功能不全比例（III 級：19.35％比38.24％，IV 級：35.49％比55.88％）及房性早搏（17.74％比38.24％）、竇房傳導阻滯（22.58％比50.00％）、心房纖顫（27.42％比52.94％）、短陣房性心動過速（30.65％比48.53％）、房室傳導阻滯（33.87％比52.94％）、束支傳導阻滯（25.81％比48.53％）髮生率均明顯升高（P ＜0.05或＜0.01）。結論：老年退行性心髒瓣膜病患者閤併心力衰竭時，其心力衰竭的程度加重，心律失常髮生率升高。
목적：탐토노년퇴행성심장판막병（SDHVD）합병심력쇠갈（HF）적림상특점。방법：선택68례 SDHVD 합병 HF적환자（SDHVD＋HF 조）여동기수치적무판막개화적노년 HF 환자62례（HF 대조조）진행림상분석연구。결과：여 HF대조조비교，SDHVD＋HF 조엄중심공능불전비례（III 급：19.35％비38.24％，IV 급：35.49％비55.88％）급방성조박（17.74％비38.24％）、두방전도조체（22.58％비50.00％）、심방섬전（27.42％비52.94％）、단진방성심동과속（30.65％비48.53％）、방실전도조체（33.87％비52.94％）、속지전도조체（25.81％비48.53％）발생솔균명현승고（P ＜0.05혹＜0.01）。결론：노년퇴행성심장판막병환자합병심력쇠갈시，기심력쇠갈적정도가중，심률실상발생솔승고。
Objective:To explore the clinical characteristics of senile degenerative valvular heart disease (SDHVD)compli-cated heart failure (HF).Methods:A total of 68 SDHVD + HF patients were enrolled as SDHVD + HF group,another 62 aged HF patients without valvular calcification in the same period were enrolled as HF control group.Characteristics of two groups were analyzed.Results:Compared with HF control group,there were significant rise in percentages of severe cardiac dysfunction (NYHA class III:19.35% vs.38.24%,NYHA class IV:35.49% vs.55.88%),incidence rates of at-rial premature (17.74% vs.38.24%),sinoatrial block (22.58% vs.50.00%),atrial fibrillation (27.42% vs.52.94%), paroxysmal atrial tachycardia (30.65% vs.48.53%),atrioventricular block (33.87% vs.52.94%)and bundle branch block (25.81% vs.48.53%)in SDHVD + HF group,P <0.05 or <0.01. Conclusion:When SDHVD patients compli-cate with HF,the HF degree aggravates and incidence rate of arrhythmia rises.
