老年人多病因心力衰竭524例临床分析

目的对不同年龄段老年人多病因慢性心力衰竭（CHF）住院病例,进行病因、诱因、伴随疾病和病死率的对比分析,以期为临床老年CHF防治提供参考。方法从住院病例中选出2007年1至12月住院的老年CHF患者524例,以60-69岁、70-79岁和≥80岁分为3个年龄段,比较分析不同的临床特征。结果70-79岁和≥80岁年龄段与60-69岁年龄段相比,病因中冠心病、高血压病、肺心病随增龄增多;诱因中肺炎随增龄明显增多;伴随疾病中糖尿病、慢性肾功能不全、贫血随增龄增多;心律失常无显著差异;病死率随增龄显著增高。结论老年CHF患者的病因、诱因、伴随疾病构成比中,冠心病、高血压病、糖尿病和肺炎随增龄增多。病死率随增龄增高。

Clinical analysis of multifactor heart failure in the elderly

Objective To evaluate etiology,predisposing cause,concomitant diseases and outcome of elderly patients with congestive heart failure and to provide a reference for prevention and treatment of heart failure. Methods 524 elderly patients hospitalized for heart failure were included during January 2007 to December 2007. The patients were divided into three groups ：60 -69 years old ,70 -79 years old and ≥80 years old group. Results The proportion of patients with coronary heart disease, hypertension or cor pulrnonale increased with age increasing. The proportion of patients who had pneumonia, diabetes, chronic renal function deficiency and anaemia also increased with age increasing,but the arrhythmia was similar for the three groups. There was a higher mortality rate with age increasing. Conclusions The data of the elderly patients hospitalized for heart failure indicate that the proportion of patients with coronary heart disease, hypertension ,diabetes, pneumonia increased with age increasing, but incidence of the mortality of elderly patients with heart failure increased with age increasing.