中老年人动脉硬化与心脏舒张期功能不全相关性的研究

Relationship between Atherosclerosis and Cardiac Diastolic Dysfunction in the Elderly Patients

目的:研究老年人动脉硬化与心脏舒张期功能不全的相关性。方法:将136例确诊为心脏舒张期功能不全的老年患者进行严重程度分级,与各组眼底动脉硬化病变的情况进行比较和分析。结果:在136例舒张期心功能不全的患者中,27例为轻度异常,无眼底动脉硬化患者占59.26%,有眼底动脉硬化患者占40.74%;78例为中度异常,无眼底动脉硬化患者占34.62%,有眼底粥样硬化患者占65.38%;31例为重度异常,无眼底动脉硬化患者占19.35%,有眼底粥样硬化患者占80.65%。3组之间进行比较,差异有统计学意义,P<0.01;136例舒张期心功能不全的患者中,共有87例患者存在不同程度的眼底动脉硬化病变。其中,11例轻度舒张功能不全患者中,眼底动脉硬化I级占54.55%,眼底动脉硬化≥Ⅱ级占45.45%;51例中度舒张功能不全患者中,眼底动脉硬化I级占25.49%,眼底粥样硬化≥Ⅱ级占74.51%;25例重度舒张功能不全患者中,眼底动脉硬化I级占24.00%,眼底动脉硬化≥Ⅱ级占76.00%。3组之间进行比较,差异有统计学意义,P<0.05。结论:老年动脉硬化患者与心脏舒张期功能不全情况存在着相关性,对临床诊断心功能不全有着重要的参考价值,值得进一步研究和探讨。

Objective： To explore the correlations between atherosclerosis and cardiac diastolic dysfunction in the elderly.Methods： 136 elderly patients diagnosed with cardiac diastolic dysfunction were divided into severity ratings.To compare and analyze the relationship between fundus arteriosclerosis lesion and cardiac diastolic dysfunction.Results： A total of 87 patients suffered from different degrees of fundus arteriosclerosis lesion in 136 diastolic heart failure patients.Among the three groups,comparing the diastolic ventricular dysfunction classification and the rate of retinal arteriosclerosis,the difference was statistically significant（P 0.01）;and when comparing the diastolic ventricular dysfunction grading and the degree of fundus arteriosclerosis,the difference was statistically significant（P 0.05）.Conclusion： Cardiac diastolic dysfunction was closely related with atherosclerosis in elderly patients.