论文部分内容阅读
目的对老年心力衰竭的多病因性及心衰类型、程度进行分析,对临床诊治提高参考。方法将206例老年心衰患者根据不同年龄段分为(60～69)岁、(70～79)岁和≥80岁三个年龄段,分析病因构成特点与心衰类型,并根据超声心动图对E/A,EF,LVD进行临床分析。结果老年心衰患者中94.7%为多病因,基础疾病以冠心病、高血压、肺心病为主,合并疾病以COPD、糖尿病、心律失常为主。老年人心力衰竭主要以舒张性心衰为主,占66.99%。结论老年心力衰竭患者主要以舒张性心衰为主,在治疗上应考虑到心衰的多病因性,进行防治。
Objective To analyze the causes and the types of heart failure in elderly patients with heart failure, and to improve the clinical diagnosis and treatment. Methods 206 elderly patients with heart failure were divided into three age groups of (60-69) years (70-79) and ≥80 years old according to different age groups. The etiology and heart failure were analyzed. According to echocardiography E / A, EF, LVD clinical analysis. Results 94.7% of elderly patients with heart failure were multiple causes. The underlying diseases were coronary heart disease, hypertension and pulmonary heart disease. The combined diseases were mainly COPD, diabetes and arrhythmia. Elderly heart failure mainly diastolic heart failure, accounting for 66.99%. Conclusion In elderly patients with heart failure mainly diastolic heart failure, the treatment should take into account the multiple etiology of heart failure, prevention and treatment.