老年人房颤与冠心病相关性的调查研究  

Survey Research on Correlation between Atrial Fibrillation and Coronary Heart Disease in Elderly

作　　者：李全亮[1] 王利然[2] 栾玥[3] 

机构地区：[1]吉林省人民医院心内科,吉林长春130021 [2]中国人民解放军装甲兵技术学院门诊部内科,吉林长春130000 [3]吉林省人民医院手足外科,吉林长春130021

出　　处：《中国卫生产业》2016年第22期29-31,共3页China Health Industry

摘　　要：目的调查研究老年人房颤与冠心病的相关性。方法选取2014年1月—2016年3月期间到该院住院治疗的老年房颤患者49例作为研究组,选取同时期到该院住院治疗的老年窦性心律患者32例作为对照组,比较两组患者冠心病患病率、冠脉病变程度、瓣膜钙化发生情况、超声心动图瓣膜病变情况及基础疾病情况等。结果研究组冠心病患病率比对照组高,且研究组冠脉病变程度明显严重于对照组;从瓣膜钙化发生情况来看,房颤者瓣膜钙化发生率明显增高。超声心动图瓣膜病变情况比较结果为研究组患者二尖瓣关闭不全及二尖瓣狭窄、主动脉瓣关闭不全及三尖瓣关闭不全等的发生率均比对照组高,但两组间三尖瓣狭窄及主动脉瓣狭窄发生率无显著差异;基础疾病情况比较结果为器质性心脏病、风心病、老年退行瓣膜病、慢性心功能不全等对房颤发生率有显著影响,高血压、糖尿病、高脂血症对房颤的发生率的影响与对照组比无显著性差异。结论老年人房颤与冠心病有相关性,但冠心病不是房颤的唯一病因或危险因素。Objective To survey the correlation between atrial fibrillation and coronary heart disease in elderly. Methods49 cases of senile patients with atrial fibrillation hospitalized in our hospital from January 2014 to March 2016 were selected as the research group, 32 cases of senile patients with sinus rhythm hospitalized in our hospital at the same period were selected as the control group, and the prevalence rate of coronary heart disease, pathologic degree of the coronary artery,occurrence of valvar calcification, ultrasound cardiogram valvular disease and basic disease of the two groups were compared, Results The prevalence rate of coronary heart disease in the research group was higher than that in the control group, and the pathologic degree of the coronary artery in the research group was obviously worse than that in the control group, the incidence rate of valvular calcification of patients with atrial fibrillation obviously increased, the comparison results of ultrasound cardiogram valvular disease showed that the incidence rates of mitral inadequacy, mitral stenosis, aortic incompetence and tricuspid insufficiency in the research group were higher than those in the control group, but there was no obvious difference in the tricuspid stenosis and incidence rate of aortic stenosis between the two groups, the comparison results of basic disease condition showed that the organic heart disease, rheumatic heart disease, senile degenerative valvular disease and chronic cardiac insufficiency had an obvious effect on the incidence rate of atrial fibrillation,and there was no obvious difference in the effect of hypertension, diabetes and hyperlipoidemia on incidence rate of atrial fibrillation. Conclusion The atrial fibrillation in elderly is related to the coronary heart disease, but the coronary heart disease is not the only cause or risk factor.

关 键 词：老年人 房颤 冠心病 相关性 

分 类 号：R541[医药卫生—心血管疾病]