舒张性心力衰竭患者基础疾病特点分析
Analyses of concomitant diseases in patients with diastolic heart failure
刘聚伟 1吕宪玉 2秦浩 2王瑞芳 2何昆仑2
作者信息
- 1. 总参管理保障部西山门诊部,北京,100091
- 2. 解放军总医院心血管二科,北京,100853
- 折叠
摘要
目的:探讨舒张性心力衰竭与原发性高血压病、糖尿病、冠心病的相关性.方法:通过填写心力衰竭调查表、体格检查、生化检查、超声心动图检查,并结合其他检查结果,将参加实验人群分为:舒张性心力衰竭(DHF)组、收缩性心力衰竭(SHF)组,心功能正常(NL)组.进行基础疾病(原发性高血压病、糖尿病、冠心病)相关分析.结果:DHF组(239例)的高血压病、冠心病、糖尿病分别占55.8%,37.7%,16.3%;SHF组(81例)分别占71.6%,61.7%,18.5%;NL组(250例)分别占45.2%,21.2%,10.4%.SHF组、DHF组与NL组比较,原发性高血压、冠心病发病率明显升高,有统计学意义(P＜0.05);DHF组与SHF组相比较,只有冠心病的发病率有统计学意义(P＜0.05).结论:原发性高血压是产生DHF的主要病因,其次为冠心病、糖尿病为可能原因.
Abstract
AIM:To probe into the association between diastolic heart failure ( DHF) and essential hypertension,diabetes and coronary heart disease. METHODS:DHF patients and the systolic heart failure(SHF) patients were selected by questionnaires,medical checkup and ultrasonocardiograph,and they were divided into DHF group,SHF group and normal ( NL) group. The rates of concomitant diseases of essential hypertension,diabetes and coronary heart disease were analyzed. RESULTS: The rates of hypertension,coronary heart disease and diabetes were 55.8%,37.7% and 16.3%,respectively in DHF group (239),71. 6%,61.7% and 18.5% respectively in SHF group(81),and 45.2%,21.2% and 10. 4% respectively in NL group (250). The incidence of hypertension and coronary heart disease significantly increased compared with that in NL group (P<0.05). Significant difference in the incidence of coronary heart disease was found between SHE group and DHF group ( P < 0. 05 ). CONCLUSION: Essential hypertension is the main cause in the development of DHF,followed by coronary heart disease. Diabetes may also contribute to the development of DHF.
关键词
心力衰竭,充血性/射血分数/病因学/高血压/冠状动脉疾病/糖尿病Key words
heart failure,congestive/ejection fraction/etiology/hypertension/coronary disease/diabetes mellitus引用本文复制引用
基金项目
国家高技术研究发展计划(863计划)(2007AA02Z4371179)
出版年
2009
NETL
NSTL
维普
万方数据