老年肺心病患者并发心律失常相关危险因素分析  

Risk factors of arrhythmia in patients with pulmonary heart disease

作　　者：周薇[1] 冯俐[1] 

机构地区：[1]北京老年医院呼吸科,100095

出　　处：《中国医药》2010年第7期594-595,共2页China Medicine

摘　　要：目的 探讨老年慢性肺源性心脏病（肺心病）患者并发心律失常的相关因素,为合理防治提供依据.方法 回颐性调查我院108例老年肺心病患者,对80例并发心律失常病例（观察组）与28例未并发心律失常病例（对照组）进行Logistic回归分析.结果 108例患者中,合并心律失常80例,发生率74.3%.房性心律失常最多,占41.2% 其次是窦性心动过速,占26.2% 第3是室性心律失常,占8.8%.单因素及多因素Logistic逐步回归分析显示,合并冠状动脉粥样硬化性心脏病（冠心病）和/或高血压疾患、低氧血症、心力衰竭、肺部感染、酸碱失衡、电解质紊乱对并发心律失常的影响差异有统计学意义（P＜0.05）.结论 加强老年肺心病患者并发心律失常的监控,针对危险因素早期预防和治疗.Objective To investigate the risk factors influencing the occurrence of cardiac arrhythmia following pulmonary heart disease in elderly patients. Methods Totally 80 cardiac arrhythmia and 28 non-cardiac arrhythmia in elderly patients with pulmonary heart disease cases were analyzed. Results Eighty cases were complicated with cardiac arrhythmias with the incidence of 74.1%. The logistic regression analysis indicated that concomitant disease, hypoxemia, heart failure, lung infection, Acid-base inbalance, electrolyte disturbance were significant risk factors （P 〈 0.05 ）. Conclusions Cardiac arrhythmia in elderly patients with pulmonary heart disease should be strengthened. Early diagnosis and treatment must be addressed according to the risk factors.

关 键 词：肺心病 老年人 心律失常 危险因素 

分 类 号：R541.5[医药卫生—心血管疾病]