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目的探讨老年退行性心脏瓣膜病(Senile Degenerative Heart Valvular Disease,SDHVD)的临床特点与相关因素。方法选择96例经超声心动图检查诊断为SDHVD的老年患者,分析SDHVD与年龄、吸烟、高血压、冠心病、糖尿病、高脂血症等合并疾病的关系及心电图、超声心动图等资料的特点。结果SDHVD患者中存在吸烟、高血压病、冠心病最多,并伴有血糖、血脂的异常。病变以主动脉瓣多见,心律失常以室上性心律失常多见。结论SDHVD是机体老化与多因素共同引起的疾病;吸烟、高血压病、动脉硬化及高脂血症等因素增加老年人退行性心脏瓣膜病的患病可能性。
Objective To investigate the clinical features and related factors of senile degenerative heart valvular disease (SDHVD). Methods Ninety-six elderly patients diagnosed as SDHVD by echocardiography were selected to analyze the relationship between SDHVD and age, smoking, hypertension, coronary heart disease, diabetes mellitus, hyperlipidemia and other complications and the characteristics of electrocardiogram and echocardiography . Results There were smoking, hypertension, coronary heart disease in SDHVD patients with abnormal blood glucose and blood lipid. Aortic valve disease more common, arrhythmia to supraventricular arrhythmia more common. Conclusion SDHVD is a common disease caused by aging and multiple factors. Smoking, hypertension, arteriosclerosis and hyperlipidemia may increase the possibility of degenerative valvular heart disease in the elderly.