摘要
目的分析并研究甲亢心脏病的疾病特点,包括患者的发病年龄、发病性别和临床表现特点,总结有效的关于这种疾病的发病机制、诊断标准和依据,总结有效的治疗方法和预防措施。方法本研究所有研究对象均为我院在2013年8月至2016年7月收治的甲亢心脏病患者,共计涉及到50例,对所有患者的临床资料进行回顾性分析。结果本研究50例甲亢性心脏病患者中,男女比例为1∶1.78,(18∶32),窦性心脏病过速的患者34例,占68.0%,各种心律失常患者15例,占30.0%,心力衰竭的患者1例,占2.0%,心绞痛发作患者0例。对患者经过系统正规的治疗,患者心脏不适症状和体征均消失48例,占96.0%,本研究不存在患者死亡。本研究之内15例心律失常患者,应用甲亢药物治疗,1个月以后,加用奎尼丁等抗心律失常药,11例患者心房纤颤等心律失常显著减少,治愈率为73.33%。其余4例患者应用了治疗甲亢药物1周的时候,加用奎尼丁等抗心律失常药物,患者心房纤颤等心律失常减轻不明显,占26.67%,两组比较,差异有统计学意义(P<0.05)。结论对于甲亢性心脏病患者进行治疗的关键就是要对患者进行及早的诊断,积极的对原发病症进行治疗。
fObjective To analyze and study the characteristics of hyperthyroid heart disease,including the age of onset, sex and clinical features of the patients, summarize the effective pathogenesis,diagnostic criteria and basis of the disease, summarize the effective treatment methods and preventive measures. Methods All the study subjects in our study were patients with hyperthyroidism admitted from August 2013 to July 2016 in our hospital. A total of 50 cases were included in this study. The clinical data of all patients were retrospectively analyzed. Results In this study, 50 patients with hyperthyroidism heart disease, male to female ratio was 1: 1.78, (18: 32), 34 patients with sinus heart disease overdrive,accounting for 68.0% , 15 cases of various arrhythmia patients, accounting for 30.0% , 1 ease of heart failure, accounting for 2.0% , 0 cases of angina pectoris. In patients with formal treatment system, patients with heart symptoms and signs disappeared in 48 cases, accounting for 96.0% , the study does not exist in patients with death. Within the study, 15 patients with arrhythmia were treated with hyperthyroidism One month later, anti-arrhythmie drugs such as quinidine were added. The arrhythmia such as atrial fibrillation was significantly reduced in 11 patients. The cure rate was 73.33%. The remaining 4 patients were treated with hyperthyroidism drugs for a week, plus anti-arrhythmic drugs such as quinidine, patients with atrial fibrillation and other arrhythmias mitigation is not obvious, accounting for 26.67%, the two groups were significantly different, P〈0.05, has statistical significane. Conclusion The key to the treatment of hyperthyroid heart disease patients is to make early diagnosis of patients, and actively treat the primary disease.
作者
田丹丹
石颖
Tian Dandan;Shi Ying(Guizhou Provincial Tumor Hospital Comprehensive Hospital 1 Division 550004,China)
出处
《中华心脏与心律电子杂志》
2016年第2期76-78,共3页
Chinese Journal of Heart and Heart Rhythm(Electronic Edition)
关键词
甲亢性心脏病
老年
治疗体会
Hyperthyroidism
Old age
Treatment experience