首页|分析老年慢性心力衰竭患者窦性心率震荡检查的效果

分析老年慢性心力衰竭患者窦性心率震荡检查的效果

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目的 研究窦性心率震荡运用于老年慢性心力衰竭患者中的效果.方法 方便选取新疆生产建设兵团第七师医院于2022年3月—2024年3月收治的55例老年慢性心力衰竭患者和30例健康体检者为研究对象.老年慢性心力衰竭患者为观察组、健康体检者为对照组,两组均行24 h窦性心率震荡检查,计算窦性心率震荡的相关数据,分析窦性心率震荡检查用于老年慢性心力衰竭患者的效果.结果 患者心功能分级越高,震荡初始值、左心室舒张末期内径、左心室收缩末期内径、左心室舒张末期容积、左心室收缩末期容积越高,而震荡斜率值、左室射血分数越低,差异有统计学意义(P均<0.05).观察组震荡初始值(0.48±0.11)%高于对照组,震荡斜率值(2.16±0.22)ms/RR低于对照组,差异有统计学意义(t=5.430、22.355,P均<0.05).结论 窦性心率震荡提示在老年慢性心力衰竭患者不同心功能下有明显的差异,可为其治疗和预后提供依据.
Effect of Sinus Heart Rate Oscillations in Elderly Patients with Chronic Heart Failure
Objective To study the effect of sinus heart rate oscillation in elderly patients with chronic heart failure.Methods Fifty-five elderly patients with chronic heart failure and thirty healthy physical examination subjects admit-ted to Xinjiang Production and Construction Corps Seventh Division Hospital from March 2022 to March 2024 were conveniently selected as the study objects.The elderly patients with chronic heart failure were the observation group and the healthy subjects were the control group.24 h sinus heart rate concussion examination was performed in both groups.The relevant data of sinus heart rate oscillation were calculated to analyze the effect of sinus heart rate oscilla-tion test in elderly patients with chronic heart failure.Results The higher the cardiac function dassification of patients,the higher the initial shock value,left ventricular end-diastolic diameter,left ventricular end-systolic diameter,left ventricular end-diastolic volume and left ventricular end-systolic volume,and the lower the shock slope value and left ventricular ejection fraction,the differences were statistically significant(all P<0.05).The initial shock value(0.48±0.11)%in the observation group was higher than that in the control group,and the shock slope value(2.16±0.22)ms/RR was lower than that in the control group,the differences were statistically significant(t=5.430,22.355,both P<0.05).Conclusion Sinus heart rate turbulence suggests that there are significant differences in different cardiac func-tions in elderly patients with chronic heart failure,which can provide a basis for their treatment and prognosis.

Sinus heart rate oscillationElderly chronic heart failureEchocardiography24 hour dynamic fixed point map

云斐、刘艺、蒋柳溪

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新疆生产建设兵团第七师医院心功能科,新疆维吾尔族自治区奎屯 833200

窦性心率震荡 老年慢性心力衰竭 超声心动图 24h动态定点图

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(15)