150例高龄冠心病患者发病特点及护理对策  

Clinical characteristics of 150 elderly patients with coronary heart disease and their nursing strategy

作　　者：李榕彬[1] 窦幼萌[1] 张倩[1] 

机构地区：[1]解放军总医院心血管内科,北京100853

出　　处：《军医进修学院学报》2009年第4期501-502,共2页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的研究高龄冠心病患者临床特点、危险因素及护理对策。方法收集我院1993年1月-2006年6月诊断为冠心病的150例高龄(年龄≥80岁)患者的临床资料、合并疾病、临床症状、危险因素以及与冠心病不同类型之间的关系。结果高血压是最主要的合并症(72.7%),不稳定型心绞痛是冠心病的主要类型(60%),冠心病临床症状不典型患者比例高(41.3%)。糖尿病、陈旧性心肌梗死病史、脑梗塞在不同类型冠心病中差异显著(P<0.05)。结论糖尿病、陈旧性心肌梗死、脑梗塞是高龄冠心病患者的危险因素。高龄冠心病患者合并症多,护理难度大,对护士的要求高,尤其需要相关的专科护理人员。Objective To evaluate the clinical characteristics, risk factors and nursing strategy of very elderly patients with coronary heart disease （CHD）. Methods A total of 150 elderly patients diagnosed with CHD between January 1993 and June 2006 were studied. The age of patients, complications, types of CHD, clinical symptoms, risk factors, and relation between risk factors and types of CHD were analyzed. Results Hypertension was the main complication of CKD （72.7%） , unstable angina pectoris was the main type of CHD（60% ）, and the ratio of untypical clinical symptoms was high （41.3%）. Diabetes mellitus, history of myocardial infarction, cerebral infarction were significantly different in different types of CHD （ P 〈 0.05）. Conclusion Diabetes mellitus, history of myocardial infarction, cerebral infarction are the risk factors for different types of CKD. Very elderly CHD patients have more complications. The nursing of such patients is difficult, and high nursing skill and specific nursing staff are needed.

关 键 词：老年人 80岁以上 冠心病 危险因素 护理 

分 类 号：R541.4[医药卫生—心血管疾病]