心内科老年患者治疗期间心源性猝死的临床危险因素分析

Analysis of Clinical Risk Factors of Sudden Cardiac Death in Elderly Patients during Medical Treatment

目的研究分析心内科老年患者治疗期间心源性猝死的临床危险因素。方法病例样本为2016年11月至2019年11月襄阳职业技术学院附属医院心内科收治的80例老年心源性猝死患者,采用回顾性分析法,探究心内科老年患者治疗期间心源性猝死的危险因素。结果通过对患者资料的统计分析得知,心源性猝死的危险因素主要包括剧烈运动、吸烟史、饮酒史、排便过度用力、情绪激动等,引发心源性猝死的主要疾病类型包括冠心病、扩张型心肌病、急性心肌炎、肺心病、肥胖型心肌病、感染性心内膜炎、主动脉夹等,心源性猝死多发生于患者入院2~3周,主要发病时间为0点至6点。结论多因素可导致心内科老年住院患者心源性猝死,医护人员需加强对患者病情的监测,针对各类危险因素制定有效的干预措施,以降低心源性猝死发病率。

Objective:To study and analyze the clinical risk factors of sudden cardiac death in elderly patients during medical treatment.Methods:The case samples were 80 elderly patients with sudden cardiac death admitted to the Department of Cardiology in our hospital from November 2016 to November 2019.A retrospective analysis was used to explore the sudden cardiac death during the treatment of elderly patients with internal medicine..Results:According to the statistical analysis of patient data,the risk factors of sudden cardiac death mainly include strenuous exercise,smoking history,drinking history,excessive defecation,and emotional excitement.The main types of diseases that cause sudden cardiac death include coronary heart disease,dilated cardiomyopathy,acute myocarditis,pulmonary heart disease,obese cardiomyopathy,infective endocarditis,aortic clip,etc.Sudden cardiac death mostly occurs during the 2-3 week period of patient admission,and the main onset time is early morning 0 am to 6 am.Conclusion:Multiple factors can cause sudden cardiac death in elderly hospitalized patients in cardiology.Medical staff need to strengthen the monitoring of the patient's condition,develop effective intervention measures against various risk factors,and reduce the incidence of sudden cardiac death.