老年退行性瓣膜病多项指标特点的研究

目的 探讨老年退行性瓣膜病(DCVD)多项指标特点,提高对本病的认识.方法 回顾分析2006～2007年428例60岁以上老年人的彩色多谱勒超声心动图(UCG)及临床资料.结果 DVCD检出率34.6%,并随年龄增长而升高,各年龄段间检出率差异有统计学意义(P<0.05).同一年龄段性别差异不明显(P>0.05),瓣膜损害以主动脉辩钙化及关闭不全为多见,可合并房室腔扩大、心律失常及心功能不全.DCVD合并冠心病+高血压病者,明显多于合并冠心病或高血压病或糖尿病或肺心病者.结论 DVCD临床表现缺乏特异性,与冠心病、高血压病关系密切,UCG可作为常规检查手段.

The study on the multiple indexes of degenerative calcific valvular disease in the elderly

Objective To discuss the multiple indexes of degenerative calcific valvular disease (DCVD) in the elderly,and enhance the knowledgement of this disease. Methods In this retrospective analysis, data from 428 cases (over 60 years old) were examined by Color Doppler echocardiography. Results The incidence of DCVD was 34.6%, with the growth of the age,it goes up(P<0.05),but no significant difference between male and female (P>0.05). The common valvular lesions were calcificatlon,regurgitation of aortic valve, and The enlargement of the atrium and ventricle,ar-rhythmia and heart failure may also be shown.. DCVD with hypertension and coronary atherosclerotic heart disease were much more than those with only coronary atherosclerotic heart disease or hypertension or diabetes mellitus or cor pulmonale heart disease. Conclusion DCVD lacks of distinctive clinical characters,has a close connection with hyterension and coronary atherosclerotic heart disease. Color Doppler echocardiography is a common method.