摘要
目的探讨老年退行性心瓣膜病(SDHVD)合并冠心病(CHD)患者的临床特点。方法经冠状动脉造影和超声心动图检查,选择SDHVD+CHD患者53例为观察组,CHD患者54例为对照组。比较组间年龄、冠脉血管病变、心功能、心律失常、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C),纤维蛋白原(FIB)。结果两组年龄、TC、LDL-C、FIB心功能、心律失常在组间的分布差异有统计学意义(P<0.01,P<0.05)。结论SDHVD+CHD组的患者年龄偏大,TC、LDL-C、FIB明显增高,冠脉病变总支数、钙化或弥漫性病变明显增多,易导致心律失常和心力衰竭。
Objective To investigate the clinical characteristics of senile degenerated heart valvular diseases（SDHVD） and coronary heart diseases（CHD）.Methods 53 patients of SDHVD ＋ CHD were chosen and 54 patients with CHD as control group by examining coronary angiography and echocardiography.Comparisons were made between two groups such as ages,coronary artery pathological changes,heart functions,arrhythmia,serum cholesterin,triglyceride,high density lipoprotein-cholesterol,low density lipoprotein-cholesterol and fibrinogen.Results There were significant difference between two groups concerning the age,cholesterin,low density lipoprotein-cholesterol,fibrinogen,heart functions,arrhythmia（P〈0.01,P〈0.05）.Conclusion The age of patients with SDHVD＋CHD is older,and their TC,LDL-C and FIB were observably higher,the total number of pathological changes of coronary artery,calcification or diffuse coronary diseases were much more,resulting in heart failure and arrhythmia easily.
出处
《中国临床保健杂志》
CAS
2009年第6期572-574,共3页
Chinese Journal of Clinical Healthcare
