老年冠心病患者心力衰竭预后同血脂水平相关性探讨

老年冠心病患者心力衰竭预后同血脂水平相关性探讨

晏国锋

【期刊名称】《世界最新医学信息文摘（电子版）》 【年(卷),期】2014(000)005

【摘要】目的：探讨老年冠心病患者心力衰竭血脂水平和预后的关系。方法120例老年冠心病心力衰竭患者按心功能分为2组，同时以冠心病心功能正常者30例为对照，比较3组血脂水平和心功能关系，并对心力衰竭患者进行随访，比较死亡组与存活组血脂水平和心功能。结果3组观察对象 tc、tG、Hdl-c、心脏储备指数和射血分数差异有统计学意义（P<0.05），重度组 tc、tG、Hdl-c、心脏储备指数和射血分数低于对照组和轻度组，差异有统计学意义（P<0.05）， ldl-c 低于对照和轻度组但无统计学意义（P>0.05）；对120例心力衰竭患者随访发现24例死亡，对死亡和存活患者进行血脂和心脏功能分析，死亡组与存活组在tc、tG、ldl-c、心脏储备指数和射血分数上差异有统计学意义（P<0.05）。结论老年冠心病患者血脂水平和心脏功能与患者预后关系密切，临床应注意对血脂进行控制，并保护心脏功能。%Objective to investigate the relationship between the lipid levels and prognosis in elder patients with chronic heart failure and coronary artery disease. Method one hundred and twenty elder patients with Hf and cad were divided into two groups according to quartiles of lipid level, and 30 patients that the heart function were normal and had no coronary artery disease were the control group. the relationships between the lipid levels and heart function of three groups were compared , and the