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目的了解辽宁省农村地区老年心力衰竭住院患者病因谱、诱因、和药物治疗方面的状况。方法采用回顾性病例分析方法,对2007年度辽宁省4个县的县医院出院诊断为心力衰竭(年龄≥60岁)住院病例进行分析。结果共调查388例,其中男性177例,女性211例。病因主要是冠心病225例(60.0%)和高血压176例(45.4%)。共有168例(约43.3%)患者有明确的诱因,其中感染77例(45.8%)和劳累90例(53.6%)。药物治疗应用比例分别是利尿剂257例(66.2%)、ACEI260例(67.0%)、螺内酯100例(43.8%)、地高辛160例(41.2%)和β-阻滞剂95例(24.5%)。结论辽宁省农村心衰住院患者的病因主要是冠心病和高血压;感染和劳累是心衰的最常见诱因;心衰治疗应用较多的药物是ACEI、利尿剂和地高辛。
Objective To understand the etiology, inducement and medical treatment of elderly patients with heart failure in rural areas of Liaoning Province. Methods A retrospective case analysis method was used to analyze the hospitalized cases diagnosed as heart failure (aged ≥60 years) discharged from county hospitals in 4 counties of Liaoning Province in 2007. Results A total of 388 cases were investigated, including 177 males and 211 females. The main causes of coronary heart disease in 225 cases (60.0%) and hypertension in 176 cases (45.4%). A total of 168 patients (43.3%) had definite causes, of which 77 (45.8%) and 90 (53.6%) were infected. The proportions of drug treatment were 257 cases (66.2%) of diuretic, 260 cases (67.0%) of ACEI, 100 cases (43.8%) of spironolactone, 160 cases (41.2%) of digoxin and 95 cases (24.5% ). Conclusions The causes of hospitalized patients with heart failure in rural areas of Liaoning Province are mainly coronary heart disease and hypertension. Infection and exertion are the most common causes of heart failure. ACEI, diuretics and digoxin are the most commonly used drugs for heart failure.