摘要
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.
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 disea- ses 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 dis- ease 24.0% （234/976）. In ~〉 80-years-old group, 50.8% （123/242） patients complicated with a variety of under- lying diseases, which was significantly higher than that of 〈 80-years-old group 24.5% （102/416） （ P 〈 0.05 ）. Conclusion 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.
出处
《中国基层医药》
CAS
2013年第15期2248-2249,共2页
Chinese Journal of Primary Medicine and Pharmacy
