舒张性心力衰竭患者基础疾病特点分析  

Analyses of concomitant diseases in patients with diastolic heart failure

作　　者：刘聚伟[1] 吕宪玉[2] 秦浩[2] 王瑞芳[2] 何昆仑[2] 

机构地区：[1]总参管理保障部西山门诊部,北京100091 [2]解放军总医院心血管二科,北京100853

出　　处：《第四军医大学学报》2009年第10期926-928,共3页Journal of the Fourth Military Medical University

基　　金：国家863课题(2007AA02Z4371179)

摘　　要：目的:探讨舒张性心力衰竭与原发性高血压病、糖尿病、冠心病的相关性.方法:通过填写心力衰竭调查表、体格检查、生化检查、超声心动图检查,并结合其他检查结果,将参加实验人群分为:舒张性心力衰竭(DHF)组、收缩性心力衰竭(SHF)组,心功能正常(NL)组.进行基础疾病(原发性高血压病、糖尿病、冠心病)相关分析.结果:DHF组(239例)的高血压病、冠心病、糖尿病分别占55.8%,37.7%,16.3%;SHF组(81例)分别占71.6%,61.7%,18.5%;NL组(250例)分别占45.2%,21.2%,10.4%.SHF组、DHF组与NL组比较,原发性高血压、冠心病发病率明显升高,有统计学意义(P<0.05);DHF组与SHF组相比较,只有冠心病的发病率有统计学意义(P<0.05).结论:原发性高血压是产生DHF的主要病因,其次为冠心病、糖尿病为可能原因.AIM：To probe into the association between diastolic heart failure （DHF） and essential hypertension, diabetes and coronary heart disease. METHODS：DHF patients and the systolic heart failure（SHF） patients were selected by questionnaires, medical checkup and uhrasonocardiograph, and they were divided into DHF group, SHF group and normal （NL） group. The rates of concomitant diseases of essential hypertension, diabetes and coro- nary heart disease were analyzed. RESULTS ： The rates of hyper- tension, coronary heart disease and diabetes were 55.8%, 37.7% and 16.3%, respectively in DHF group（239）, 71.6%, 61.7% and 18.5% respectively in SHF group（81 ）, and 45.2%, 21.2% and 10.4% respectively in NL group （250）. The incidence of hypertension and coronary heart disease significantly increased compared with that in NL group （P 〈 0.05 ）. Significant difference in the incidence of coronary heart disease was found between SHE group and DHF group （ P 〈 0. 05 ）. CONCLUSION： Essential hypertension is the main cause in the development of DHF, followed by coronary heart disease. Diabetes may also contribute to the development of DHF.

关 键 词：心力衰竭 充血性 射血分数 病因学 高血压 冠状动脉疾病 糖尿病 

分 类 号：R541.6[医药卫生—心血管疾病]