浅析老年慢性肺源性心脏病并发心律失常临床观察.docVIP

精品论文 参考文献 浅析老年慢性肺源性心脏病并发心律失常临床观察 孙吴县人民医院 164299 摘要：目的：研究分析老年慢性肺源性心脏病并发心律失常的临床观察。方法：此次研究的对象是选取2013年8月-2015年8月来诊治的142例老年慢性肺源性心脏病患者，将其临床资料进行回顾性分析，并按照有无心律失常分为两组，其中心律失常组92例、心律正常组50例。总结老年慢性肺源性心脏病的类型并分析两组间的相关因素。结果：本研究中老年肺源性心脏病合并心律失常发病率为64.8%。主要心律失常类型为房性期前收缩，占16.9%，其他依次分别为窦性心律不齐、室性期前收缩、窦性心动过缓、窦性心动过速、心房颤动、左右束支传导阻滞、房室传导阻滞。心律失常组低氧血症、心力衰竭、肺部感染、电解质紊乱、酸碱失衡发病率与心律正常组比较差异均有统计学意义（Plt;0.05）。结论：大多数老年慢性肺源性心脏病患者均有潜在心律失常表现，影响心律失常的因素较多，及时通过心电图检测对预防心律失常有重要意义。 关键词：老年慢性肺源性心脏病；并发；心律失常；临床分析 [Abstract] Objective：To study and analyze the clinical observation of chronic pulmonary heart disease complicated with arrhythmia in elderly patients. Methods：the research object is to select August 2013 and 2015 August to diagnosis and treatment of 142 cases of aged chronic pulmonary heart disease patients， the clinical data were retrospectively analyzed， and according to with or without arrhythmia were divided into two groups， including arrhythmia group 92 cases， normal heart rhythm group 50 cases. To sum up the types of chronic pulmonary heart disease in the elderly and analyze the correlation factors between the two groups. Results：in this study， the incidence of arrhythmia was 64.8% in the elderly patients with pulmonary heart disease. Main types of arrhythmia before atrial contraction， 16.9%， the others in turn were sinus arrhythmia， ventricular premature contraction， sinus tachycardia， slow， sinus tachycardia， speed， atrial fibrillation， left and right bundle branch block， atrioventricular block. There were significant differences in the incidence of arrhythmia， heart failure， pulmonary infection， electrolyte disturbance， acid-base imbalance and the normal group（Plt;0.05）. Conclusion：most of the elderly patients with chronic pulmonary heart disease have the potential of arrhythmia， the effect of arrhythmia is more， the timely detection of ECG on the prevention of arrhythmia has important significance. [Key words] chronic pulmonary heart disease in the elderly；concurrent；arrhythmia；clinical analysis