老年多病因心力衰竭构成分析  

Analysis of multifactor of heart failure in the elderly

作　　者：王翠英[1] 李敏[1] 李虹伟[2] 

机构地区：[1]首都医科大学附属北京友谊医院医疗保健中心,北京100050 [2]首都医科大学附属北京友谊医院心脏中心,北京100050

出　　处：《临床荟萃》2011年第9期743-744,747,共3页Clinical Focus

基　　金：中华医学会临床医学科研专项基金课题(09010100165)

摘　　要：目的对老年多病因心力衰竭(MHFE)的多病因性构成及多病因特点进行探讨,以期为MHFE的防治提供临床依据。方法回顾性分析95例MHFE的病因构成特点与心力衰竭类型。结果构成MHFE的主要基础病因前3位为冠心病40例(42.1%)、高血压20例(21.1%)及肺源性心脏病12例(12.6%)。MHFE患者基础疾病以冠心病、高血压、肺源性心脏病为主,合并疾病以糖尿病、慢性阻塞性肺疾病为主。老年人心力衰竭主要以舒张性心力衰竭为主,占67.4%(64/95)。结论 MHFE患者的主要基础病因为冠心病、高血压和肺源性心脏病,且心力衰竭主要以舒张性心力衰竭为主。Objective To evaluate the multifactor,the type and degree of heart failure in elderly patients and to provide a reference for prevention and treatment of heart failure.Methods 95 elderly patients hospitalized for heart failure were included.The clinical data were analyzed.Results The first three underlying diseases were coronary heart disease（40 cases,42.1%）,essential hypertension（20 cases,21.1%）,pulmonary heart disease（12 cases,12.6%）.The most numbers of basic disease in multifactor were coronary heart disease,hypertension and corpulmonale.The most numbers of accompanying disease were diabetes and chronic obstructive pulmonary disease.The type of heart failure in the elderly was dominated by diastolic heart failure,accounting for 67.4%（64/95）.Conclusion The major underlying diseases were coronary heart disease,essential hypertension and pulmonary heart disease.The type of heart failure in the elderly was dominated by diastolic heart failure.

关 键 词：心力衰竭 充血性 多病因 老年人 

分 类 号：R541.61[医药卫生—心血管疾病]