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目的分析高龄老年心力衰竭患者的临床特点。方法随机抽取2012年3月-2015年12月的老年心力衰竭患者共计100例,将其按照不同年龄段分为观察组和对照组。对照组50例,为年龄<85岁的心力衰竭患者;观察组50例,为年龄≥85岁的高龄老年心力衰竭患者。比较2组患者的生化指标与超声心动图检查结果以及临床因素对不同年龄心衰患者的影响。结果观察组的HDL-C高于对照组,且SV血红蛋白、白蛋白、前白蛋白、胆固醇、LDL-C、TG低于对照组,差异均有统计学意义(P<0.05);2组收缩压、舒张压、心率、LVEDV、LVESV、LVEF、肌酐、尿酸、空腹血糖、血钠、血钾、血氯、脑钠肽比较差异无统计学意义(P>0.05)。观察组受低白蛋白与贫血的影响较为严重,对照组受糖尿病、缺血性心脏病、病瓣膜病以及高脂血症影响严重。结论高龄老年心力衰竭患者的临床特点为低白蛋白与贫血,有效的控制这两点有助于高龄老年心力衰竭患者的防治。
Objective To analyze the clinical features of elderly patients with heart failure. Methods A total of 100 elderly patients with heart failure from March 2012 to December 2015 were randomly selected and divided into observation group and control group according to different age groups. Control group of 50 patients, aged <85 years of heart failure patients; observation group of 50 patients, aged> 85 years old elderly patients with heart failure. The biochemical indexes, echocardiographic findings and clinical factors in two groups of patients were compared. Results HDL-C in the observation group was higher than that in the control group, and the levels of hemoglobin, albumin, prealbumin, cholesterol, LDL-C and TG were lower in the observation group than those in the control group (P <0.05) There was no significant difference in pressure, diastolic blood pressure, heart rate, LVEDV, LVESV, LVEF, creatinine, uric acid, fasting blood glucose, serum sodium, serum potassium, blood chloride and brain natriuretic peptide (P> 0.05). The observation group affected by low albumin and anemia more serious, the control group by diabetes, ischemic heart disease, valvular disease and hyperlipidemia. Conclusion The clinical features of senile heart failure patients with low albumin and anemia, effective control of these two points contribute to the prevention and treatment of elderly patients with heart failure.