老年舒张性心力衰竭86例病因分析  

Elderly diastolic heart failure cause analysis of 86 cases

作　　者：郑迎辉[1] 

机构地区：[1]阜阳市人民医院干部病房,236004

出　　处：《安徽医学》2010年第3期229-231,共3页Anhui Medical Journal

摘　　要：目的探讨老年舒张性心力衰竭的特点,为诊治老年舒张性心力衰竭提供依据。方法将老年舒张性心力衰竭患者分为老年组、高龄组两组,分别对其临床病因及特点进行对比分析。结果随着年龄的增大,舒张性心力衰竭心功能Ⅱ级、Ⅲ级患者的比例增高。引起舒张性心力衰竭的前三位病因老年组为冠心病、高血压、糖尿病;高龄组为高血压、糖尿病、冠心病。两组常为2-3种病因同时存在,高龄组更明显。结论老年舒张性心力衰竭主要病因为高血压、糖尿病、冠心病,年龄越大,症状越不典型,易致漏诊误诊,治疗措施与收缩性心力衰竭不尽相同。Objective To discusses the characteristics of senior diastole heart failure,in order to provide the basis of diagnosing and treating the senior diastolic heart failure.Methods The patients were divided into old group and advanced old group and analyze their causes and the features ofdiastole heart failure.Results The older the patients were,the higher the proportion of patients with NYHA gradeⅡ-Ⅲ was.The first three diseases wer coronary artery disease,hypertension anddiabetes in the old group,but the first three diseases of the advanced old group were hypertension,diabetes,coronary artery disease.Patients in two groupsoften had two or three kinds of diseases existing,which was t more obvious in advanced old group.Conclusion The main diseases that cause diastolicheart failure in aged patients are hypertension,diabetes and coronary disease.

关 键 词：老年患者 舒张性心力衰竭 病因 心功能分级 

分 类 号：R541.6[医药卫生—心血管疾病]