慢性充血性心力衰竭患者合并贫血的临床分析  

Correlativity study on anaemia and the prognosis of chronic heart failur

作　　者：纪明[1] 饶大勇[1] 毛尚 张利进[1] 刘在军[1] 

机构地区：[1]泗洪县分金亭医院心内科,江苏泗洪223900

出　　处：《四川医学》2011年第3期391-393,共3页Sichuan Medical Journal

摘　　要：目的分析慢性充血性心力衰竭患者合并贫血的患病情况及其与预后的相关性。方法将不同程度的心力衰竭患者106例按贫血情况分为正常组、轻度贫血组、中度贫血组、重度贫血及极重度贫血组,采用前瞻性队列研究的方法,在接受常规治疗心力衰竭情况下,追踪观察1年,分析贫血对慢性充血性心力衰竭(CHF)患者心功能、再住院率、病死率及脑钠肽(BNP)等指标的影响。结果随着心功能分级增高,贫血患病率呈逐渐增高趋势(P<0.01),中重度贫血的CHF患者的再住院率、病死率高,BNP均高于正常及轻度贫血组(P<0.05)。结论 CHF合并贫血的患者其再住院率及病死率较高,贫血的程度越重,病情越严重,预后越差。Objective To study the correlativity of anaemia and the prognosis of serious chronic heart failure.Methods The CHF patients with received in 2008 were divided into four groups.The normal group,the mild anaemia group,the moderate anaemia group,the serious group and the most serious group according to the Hb level.Under the convention control heart faille treatment,related date were collected and the effect of anaemia on again being hospitalized rate and mortality were analyzed and BNP in the one year follow up.Results The again being hospitalized rate and mortality in CHF Patients Combining anaemia were higher than those in CHF patients not comb ining anaemia（P0.01）,Again being hospital rate and mortalityin moderate serious anaemia in CHF patients were higher than those in mild anaemia group and the Hb normal group（P0.05）.Conclusion The again being hospitalized rate and mortalify of CHF patients are higher,The anaemias degree is more deeply,the smte of illness is move serious,and theprognosis is worse.

关 键 词：贫血 心力衰竭 预后 病死率 

分 类 号：R541.61[医药卫生—心血管疾病]