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业已证实,充血性心衰(CHF)发病率随年龄而升高,并已成为65岁以上老人当前住院的最常见病因。本文特就老年人CHF发病率及其相关特点进行了分析。对象与方法 2902例老年人,其中非裔美藉人686例,西班牙裔美藉人257例,亚裔美藉人9例,白种人1950例;男926例,女1976例,年龄60～103岁。受试者中,若SBP和/或DBP≥160/90mmHg(21.3/12kPa,1kPa=7.5mmHg),视为患有高血压;有确凿AMI史或ECG有Q波佐证,或曾有典型心绞痛发作,或曾接受经皮腔内冠脉成形术、冠脉搭桥术等,皆视为患有冠状动脉病;凡曾接受胰岛素或降糖药治疗,或空腹血糖≥140mg/dl,均视为患有糖尿病。嗣后人均随访43±24个月,旨在观察分析CHF(其诊断均满足下两条件:①查体闻及肺底湿鸣音;②X线胸片示肺瘀血)发病率及其相关特点。
It has been demonstrated that the incidence of congestive heart failure (CHF) increases with age and has become the most common cause of hospitalization for those over 65 years of age. In this paper, the incidence of elderly CHF and its related features were analyzed. Subjects and Methods 2902 elderly people, including 686 African American borrowers, 257 Hispanic borrowers, 9 Asian Americans and 1950 white men; 926 males and 1976 females, aged 60 ~ 103 years old. Subjects with SBP and / or DBP ≥160 / 90 mmHg (21.3 / 12kPa, 1 kPa = 7.5 mmHg) were considered as having hypertension; there was a definite history of AMI or ECG with Q wave evidence or a history of typical angina pectoris, Or have undergone percutaneous transluminal coronary angioplasty, coronary artery bypass surgery, etc., are considered as suffering from coronary artery disease; who have received insulin or hypoglycemic agents, or fasting blood glucose ≥ 140mg / dl, are considered suffering from diabetes. All patients were followed up for a mean of 43 ± 24 months. The purpose of this study was to observe and analyze the incidence of CHF (the diagnosis of which meets the following two conditions: (1) examination of body sound and wet end of lung; (2) incidence of pulmonary blood stasis on chest X-ray and related features.