老年慢性肺心病伴发冠心病60例临床分析

Clinical Analysis of 60 Cases Chronic Pulmonary Heart Disease in Elderly Combined with Coronary Heart Disease

目的:探讨慢性肺心病伴冠心病的临床特点,为临床的诊断及治疗提供依据。方法:慢性肺心病合并冠心病患者60例列入研究组,单纯肺心病患者60例列入对照组,收集和分析两组患者的临床资料,分别对两组基本资料、病史、临床表现、心电图检测进行比较。结果:两组患者性别、心律失常、肺性P波无显著差异(P>0.05),研究组有吸烟史、肥胖、夜间阵发性呼吸困难、高血压史、高血脂症史、糖尿病史、心绞痛史、心肌梗死、左束支传导阻滞、心肌梗死表现、持续性缺血、电轴左偏、持续房颤的患者比例明显高于对照组,研究组患者重度右心衰、电轴右偏比例明显低于对照组,数据经统计学比较具有显著差异(P<0.05)。结论:对慢性肺心病合并冠心病的确诊,应结合患者的基本情况、临床表现、病史、心电图变化等综合判断。

Objective： To discuss the clinical features of chronic pulmonary heart disease combined with coronary heart disease,in comparing with simple pulmonary heart disease. Method： 60 cases with chronic pulmonary heart disease combined with coronary heart disease were distributed into study group and 60 cases with simple pulmonary heart disease were distributed into control group.Collected the clinical information of two groups and compared the basic information,medical history,clinical manifestations and electrocardiogram. Result： Sex,arrhythmia and pulmonary P wave had no significantly difference of two groups（P0.05）.The patients rate of smoking history,obesity,paroxysmal nocturnal dyspnea,history of hypertension,hyperlipidemia,history,history of diabetes,history of angina,myocardial infarction,left bundle branch block,myocardial infarction,performance,persistent ischemia,electrical left axis deviation and continuous AF in study group were significantly higher than control group（P0.05）.The rate of severe right heart failure,right axis deviation in study group were significantly lower than control group（P0.05）. Conclusion： We should combine with the patients＇ basic condition,clinical manifestations,history of disease,ECG changes,and so on to comprehensively judge the disease of chronic pulmonary heart disease combined with coronary heart disease.