高原地区老年人心力衰竭的特点

CHARACTERS OF HEART FAILURE SUFFERED BY OLD PEOPLE IN PLATEAU AREAS

目的 了解高原地区老年人心力衰竭的特点。 方法 对西藏自治区人民医院收治的 2 0 1例老年人心力衰竭患者进行回顾性统计分析 ,并以 195例非老年人心力衰竭患者作为对照。 结果 两组发病原因均以高血压病居首位。老年组治愈率显著低于对照组 (P <0 0 1) ,而未愈和死亡率均显著高于对照组 (P分别 <0 0 5和 <0 0 1)。与治疗前比较 ,老年组心功能Ⅱ级者、对照组心功能Ⅰ、Ⅱ级者均显著增加 (P分别<0 0 1、<0 0 1和 <0 0 5 ) ,两组心功能Ⅲ、Ⅳ级者均显著减少 (均为P <0 0 1)。 结论 高原地区老年与非老年人心衰患者发病原因均以高血压最常见。高原老年人心衰患者诱发因素以呼吸道感染居首位。高原老年人心力衰竭以积极治疗原发病 ,去除诱因 ,纠正低氧血症为关键。

Subjects To figure out the characters of heart failure suffered by old people in plateau areas. Methods Carried out a retrospective statics and analysis on the 201 senile patients suffered from heart failure and hospitalized in the People's Hospital of Tibet Autonomous Region and made a comparison between them and 195 non-senile heart failure sufferers.Result For both groups,high blood pressure is the leading factor causing heart failure.The curability percentage of the senile group is obviously lower than that of the comparison group(P<0.01)and both the incurbility and death rates are higher than that of comparison group(P<0.05,and<0.01).The number's of grade Ⅱ in senile patients and grode Ⅰ and Ⅱheart function in comparison group are increased (P<0.01and <0.05Both the unrber of Grade Ⅲ and Ⅳ heart function patients decrease(P<0.01).Conclusion High blood pressure is the leading factor on causing heart failure to both senile and non-senile patients in plateau areas.The leading predisposing factor causing heart failure to old people in plateau areas is respiratory infection.Therefore,the primary disease treatment,eliminate cause,correct hypoxemia as far as heart failur old people in plateau areas are the key issues.