摘要
目的分析不同年龄心力衰竭（心衰）基础病因、常见诱因的特点以及与临床表现之间的相互关系，为减少误诊及预见性防治老年心衰提供理论依据。方法选80岁以上高龄心衰患者50例，同时选45—59岁成年患者276人及60～79岁老年患者378人作为对照，分别对其基础病因、常见诱因以及与临床表现之间的相互关系进行对比分析。结果（1）成年组导致心衰的首位病因是风湿性心脏病，占47．1％，老年组及高龄组冠心病及高血压为主要病因，其中高龄组冠心病占92％；（2）成年组心衰的诱因主要是劳累为87％，呼吸道感染仅占24％，高龄组劳累仅占32％，呼吸道感染高达74％；（3）高龄组情绪激动、气候变化、排尿困难、不稳定高血压的比例均较成年组及老年组大幅提高，情绪激动及排尿困难分别高达66％及10％，而成年组及老年组仅分别为12，3％、0．4％和9．3％、3．2％；（4）不同年龄组心衰的临床表现特点与相应的基础病因和诱因有密切联系。结论不同年龄心衰发病的基础病因及诱因均各不相同，成年组主要应积极治疗风湿性心脏病和防止劳累，老年组则应良好控制高血压和冠心病并注意防治呼吸道感染，高龄组除应重点防治呼吸道感染、有效改善心肌供血外，还应积极防治前列腺肥大、注意气候变化、保持情绪平稳；不同年龄心衰的临床表现特点与其相应的基础病因及诱因密切相关。
Objective To analyze the underlying diseases, the inducing factors and the relationship between the clinical manifestations and the underlying diseases and the inducing factors of chronic heart failure in different age groups in order to offer theoretical basis for the diagnosis, prevention and treatment to the chronic heart failure. Methods 704 heart failure patients were divided into three groups according to their age. Patients aged 45-49 were adult group ,those aged 60-79 were senile group, while those aged over 80 were very old group. The underlying diseases and the inducing factors were analyzed comparatively. Results ①The analysis showed that both underlying diseases and the inducing factors were different significantly among different groups. The most common underlying disease in adult was rheumatic heart disease while in the senile and very old groups, the dominant underlying diseases were coronary heart disease and hypertension; ②The inducing factors of heart failure in different groups were different significantly either. Exertion was the dominant inducing factor in the adult group while pulmonary infection was the dominant inducing factor in the very old group; ③The proportion of exciting, weather changing and difficulty of urination among inducing factors was increased age-relatedly in the very old group, and the proportion of silent myocardial isehemia was also increased following aging ; ④The characteristics of the clinical manifestations were closely related to the underlying diseases and the inducing factors in different age groups. ConcLusions Both the underlying diseases and the inducing factors were different significantly and the characteristics of the clinical manifestations were closely related to the underlying diseases and the inducing factors in different age groups.
出处
《中国临床保健杂志》
CAS
2007年第3期225-227,共3页
Chinese Journal of Clinical Healthcare
