老年慢性心力衰竭住院患者合并糖尿病的构成比

目的　探讨老年慢性心力衰竭 (CHF)住院患者中合并糖尿病的比率 ,并比较其在不同年龄段的区别。方法　回顾性分析近 30年来我院确诊为CHF的住院并且出院时尚存活的患者 70 4例 ,并对老年前期 (4 5～ 5 9岁 ) ,老年期(6 0～ 74岁 )和高龄期 (≥ 75岁 ) 3组患者的资料进行比较。结果　≥ 6 0岁CHF患者中合并糖尿病者占 2 0 .3% (87 4 2 8) ;在 3组的比率随年龄增高分别为 6 .2 % ,18.7%和 2 3.4 % (P <0 .0 1) ;在两种病因所致的老年CHF患者中合并糖尿病的比率为 2 7.5 % ,在 3组中的比率随年龄的增加分别为 11.4 % ,2 3.0 %和 38.5 % ;在两种以上多病因所致的CHF患者中上述比率为 15 .9% (4 9 30 9) ,3组的比率依次为 9.5 % ,11.6 %和 4 2 .9%。结论　老年CHF住院非死亡患者随年龄的增长 ,合并糖尿病的比率明显增高 ;在多病因所致的CHF中此比率亦明显增高

The percentage of patients with concomitant diabetes mellitus in the elderly in-patients with chronic heart failure

Objective To investigate the percentage of patients with concomitant diabetes mellitus (DM) in the elderly in-patients with chronic heart failure (CHF) and the difference of it in the different age groups.Methods The data of 704 patients who were diagnosed as CHF in our hospital were studied retrospectively by the Foxpro CHF Data Bank.The underlying diseases and multiplicity of CHF were analysed and compared among the three age groups: pre-senile group (45～59 yrs), old group (60～74yrs) and very old group (≥75yrs).Results The percentage of patients (≥60yrs) with DM and CHF was 20.3% in total and was 6.2%, 18.7% and 23.4% in presenile group,old group and very old group respectively.The percentage of CHF complicated by DM with two underlying diseases was 27.5%, and was 11.4%, 23.0% and 38.5% in the three age groups as above respectively;The percentage of CHF complicated by DM with more than two underlying diseases was 15.9%, and was 9.5%, 11.6% and 42.9% in the three age groups as above respectively.Conclusions About one fifth of CHF patients (≥60yrs) had concomitant DM, which was lower than that reported by western countries. The percentage of CHF complicated by DM increased with aging and the number of underlying diseases.