180例心脏性猝死的危险因素分析及预防对策

Relative Factors Analysis and Prevention Countermeasures of Sudden Cardiac Death in 180 Patients

目的:研究分析180例心脏性猝死患者的危险因素及预防对策。方法:回顾性分析180例心脏性猝死患者的临床资料,包括患者的既往病史、猝死诱发因素、生活习惯、先兆、发生时间及辅助检查结果。并分析对危险因素的预防对策。结果:心脏性猝死(SCD)病发的高危因素有冠心病(46.10%)、心肌病(18.89%)、心肌炎(13.89%),且病发的高危人群为60岁以上具有冠心病的老年患者。83例冠心病患者中有51例男性,32例女性,并且随着年龄升高、冠脉狭窄程度就越高。干预后患者的生活质量明显好过干预前。结论:冠心病、心功能不全、室性心律失常、冠状动脉多支重度粥样硬化性狭窄是心脏性猝死的主要高危因素,并且男性的发病率高于女性。相应的早期并且长期干预有利于心脏性猝死亡的预防,并有望减少心脏性猝死的发生。

Objective： To study the analysis of 180 cases of sudden cardiac death in patients with risk factors and preventive countermeasures.Methods： A retrospective analysis of 180 cases of sudden cardiac death in patients with clinical data,including patients with past history,sudden death induced factors,living habits,aura,occurrence time and auxiliary examination results.And analysis of risk factors of prevention countermeasures.Results：The SCD disease hair of risk factors have coronary heart disease（46.10%）,cardiomyopathy（18.89%）,myocarditis（13.89%）,and disease hair high-risk groups for sixty years old above have elderly patients with coronary heart disease.83 cases of coronary heart disease patients with 51 cases of male,32 cases of female,and along with the age increasing,the higher the degree of coronary artery stenosis.The quality of life of patients after intervention obviously better than before the intervention.Conclusion：Coronary heart disease,cardiac dysfunction,ventricular arrhythmia,coronary artery branch severe atherosclerotic stenosis is sudden cardiac death,the main risk factors and the incidence of men than women.The corresponding early and long-term intervention to prevent sudden cardiac death,and are expected to reduce the occurrence of sudden cardiac death.