老年心力衰竭的性质与临床特征的关系

Relationship between Clinical Features and Character of the Congestive Heart Failure in the Old Age

研究了８７５例充血性心力衰竭（ＣＨＦ）患者。其中３７６例为大于（含等于）６０岁的老年患者（Ⅰ组），４９９例为小于６０岁（Ⅱ组）。结果表明：Ⅰ组中单纯舒张功能不全的占４４．４％，显著高于Ⅰ组。主要原因为缺血性心脏病和高血压心脏病。与Ⅱ组比较，Ⅰ组的临床特征：１）神经精神症状更明确。２）患单纯舒张功能不全的患者中与Ⅱ组比较，心悸、劳累后呼吸困难，夜间阵发性呼吸困难和恶心、呕吐等症状更明显。

Investigated 875 patiens With congestive heart failure (CHF).376 of them were older than 60 years old (1st group),499 patients were younger than 60 years old (2nd group).The results showed that the patients (44.4%)with only diastolic dysfunction were more than 2nd group.The important causes were ischemic heart disease of CHF in 1st group.Clinical features of 1st group compared with 2nd group were:1)The symptom of the central nervous system and mental to be more.2)The patients with palpitation,dyspnea behind fatigue,paroxysmal nocturnal dyspnea,nausea,vomit and so on symptomatized to be more outstanding than patients in 2nd group.3)The patients with atrial fibrillation and peripheral edema being the most common.4)Decreased distensibility of left ventricular and valvular calcific (35.1%) in the echocardiography test were more frequent than 2nd group.