老年心律失常208例临床分析

The clinical analysis of the 208 elderly cases with cardiac Arrhythmia

目的 :探讨老年人心律失常的发病特点。方法 :以老年组 2 0 8例为实验组 ,非老年组 4 2例为对照组 ,比较两组间各心律失常基础疾病发生率、再入院率、出院时的治愈率、ECG的左心导联缺血性ST—T改变、胸片的主动脉弓蛋壳形阴影、左心室肥厚、高脂血症、心力衰竭、血电解质紊乱及血气异常。结果 :上述各项两组间的差异存在显著意义 (P <0 .0 5 )甚至非常显著意义 (P <0 .0 1)。结论 :老年人心律失常的主要病因是器质性心脏病 。

Objective:To investigate clinical characteristics of the elderly patients with cardiac arrhythmia.Methods: Taking the 208 elderly cases as experimenting group and the 42 no-elderly cases as a control subject and making a comparison between above two group patients with cardiac arrhythmia of the occurrence rate in foundation diseases, re-admission rate, cure percentage when discharging, ST-T seqment depression in left precordial leads of electrocardiogram, aorta-bow eggshell form shadow in X-ray. Ventricular hypertrophy, hypertrigly cerdemia,heart failure,Acid-Base and electrolyte disorder and Blood-gas disturbance. Results:The difference between two groups are of considerable significance(P<0.05)and even of great value(P<0.01). Conclusion:The main pathogenic factor of the elderly patients with cardiac arrhythmia is organic cariopathy disease,also exists inducement.