高血压合并老年退行性心瓣膜病的超声资料分析  

Analysis of ultrasound data in aged patients with hypertension complicated degenerative valvular heart disease

作　　者：钱岚[1] 张勇[1] 吴亚丹[1] 王武[1] 周德聪[1] 李海燕[1] 

机构地区：[1]海南省老年病医院,海南海口市571100

出　　处：《心血管康复医学杂志》2012年第4期401-402,共2页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:分析高血压对老年退行性心瓣膜病(SDVHD)的影响。方法:对90例老年高血压合并SDVHD患者(高血压+SDVHD组)和63例老年血压正常的SDVHD患者(SDVHD组)的年龄结构,瓣膜特征,SDVHD并发症进行回顾性总结、分析。结果:与老年SDVHD组比较,老年高血压+SDVHD组主动脉瓣钙化发生率(52.4%比78.9%)、二尖瓣钙化发生率(15.9%比24.4%)、主动脉瓣钙化合并二尖瓣钙化发生率(31.7%比52.2%)、主动脉瓣瓣膜狭窄及中度以上反流的发生率(31.7%比63.3%)均明显升高(P<0.05);老年高血压+SDVHD组的年龄也明显小于老年SDVHD组[(67.5±6.28)比(76.5±7.33),P<0.05]。结论:高血压对老年退行性心瓣膜病的发生和发展有重要影响,加重其并发症;是形成老年退行性心瓣膜病的重要危险因素。Objective：To analyze the influence of essential hypertension（EH） on senile degenerative valvular heart disease（SDVHD）.Methods： Age,valvular features and complications of SDVHD were retrospectively summarized and analyzed in 90 aged EH＋SDVHD patients（EH＋SDVHD group） and 63 aged SDVHD patients with normal blood pressure（SDVHD group）.Results：Compared with SDVHD group,there were significant increase in incidence rates of aortic valve calcification（52.4% vs.78.9%）,mitral valve calcification（15.9% vs.24.4%）,aortic valve calcification complicated mitral valve calcification（31.7% vs.52.2%）,and aortic valve stenosis ＋ moderate reflux（31.7% vs.63.3%） in EH ＋ SDVHD group,P0.05 all;age of EH ＋ SDVHD group was also significantly lower than that of SDVHD group [（67.5±6.28） years vs.（76.5±7.33） years,P0.05].Conclusion： Hypertension possesses important influence on incidence and complication of SDVHD,and it′s an important risk factor of senile degenerative valvular heart disease.

关 键 词：高血压 心脏瓣膜疾病 超声心动描记术 

分 类 号：R544.1[医药卫生—心血管疾病]