老年人心律失常的临床特点

Clinical characteristics of senile arrhythmia

1990年1月～1997年1月在我院住院的心律失常患者共426例，其中老年组246例（57．75％），非老年组180例（42.25％）。246例老年心律失常中，房颤（Af）最高71例（28．86％），窦性心动过速次之42例（17．07％），均显著高于非老年组（P＜0．01）。室性早搏两组相近（P＞0．05）。老年组发病诱因以肺部感染最多93例（37.81％），高血压和上感与劳累并存居三、四位，均显著高于非老年组（P＜0．01）。经治疗后，老年组有43例（17．48％）转复，显著低于非老年组的93例（51.67％）P＜0．01；好转152例（61．79％），显著高于非老年组的62例（34．44％）P＜0．01。治疗后无效者两组相近P＞0．05；死亡者老年组27例（10.98％），高于非老年组2例（1．11％）P＜0．01。经分析本资料有以下特点：（1）老年人心律失常多见于器质性心脏病．（2）发病诱因以肺部感染多见．（3）Af检出率高。根据上述特点认为，积极治疗原发病，消除诱因是治疗的关键，因转复率低，易复发，死亡率高，对老年人心律失常应及早诊断，及早治疗。

426 cases of arrhythmia patients wereadmitted in our hospital from Jan. 1990～Jan. 1997. Among them, 246 cases of senilegroup (57. 75%), 180 cases of nonsenilegroup (42. 25% ). In 246 cases of senile arrhythmia，auricular fibrillation 71 cases (28.86%) and sinus tachycardia 42 cases (17.07%)are all obviously higher than nonsenilegroup (P<0. 01). Ventricular extrasystoleare more or less the same in this two groups(P>0. 05). The predisposing factors of senile group: pulmonary infection 93 cases(37. 81% ) take the first place, hypertensionand upper respiratory tract infection combined with tiredness rank the third andfourth place are all obviously higher thannonsenile group (P<0. 01). After treatment, 43 cases of senile group (17. 48% )were recovered,obviotlsly lower than nonsenile group 93 cases (51. 67%); 152 caseswere improved, obviously higher than nonsenile group 62 cases (34. 44 %), p<0.01.Ineffective cases of this two groups werenearly the same, P>0. 05. Death in senilegroup 27 cases (10. 98%) were higher thannonsenile group 2 cases (1. 11% ),P<0.01.