扩张型心肌病合并充血性心力衰竭的相关因素Logistic分析  

Logistic Analysis of Risk Factor About Dilated Cardiomyopathy with Ventricular Congestive Heart Failure

作　　者：谢进[1] 李欣[1] 许臣洪[1] 胡沛[1] 卢洪涛[1] 

机构地区：[1]荆州市中心医院心内科,湖北荆州434020

出　　处：《现代生物医学进展》2012年第26期5130-5132,共3页Progress in Modern Biomedicine

摘　　要：目的:寻找扩张型心肌病(DCM)合并充血性心力衰竭(CHF)的独立危险因素,为临床预防和治疗扩心病患者的病情提供依据。方法:选择我院收治的扩张型心肌病患者125例,按照NYHA分级分组,将心功能Ⅱ-Ⅳ级同时左心室射血分数(LVEF)<40%的患者91例定义为观察组;将心功能Ⅰ级同时左心室射血分数≥40%的患者34例定义为对照组。在比较两组临床资料的基础上,采用logistic多因素分析方法确立扩张型心肌病合并心力衰竭的独立危险因素。结果:单因素分析结果发现,观察组中的"房颤"及"脉压≥70mmHg"这两个参数比对照组的数量明显增多,差异有统计学意义(P<0.05)。logistic多因素分析发现"脉压≥70mmHg"、"房颤"是扩心病合并心力衰竭的独立危险因素。结论:"脉压≥70mmHg"、"房颤"是扩张型心肌病合并充血性心力衰竭的独立危险因素,需要在临床治疗扩心病患者时警惕这两项指标的异常。Objective： To find the independent risk of factor of dilated cardiomyopathy （DCM） with ventricular congestive heart failure （CHF）. Methods： 125 patients from our hospital were involved in this investigation. Patients were divided by NYHA. 91 patients with NYHA grade II -IV and LVEF〈40% were selected as observation group, and the rest 34 patients with NYHA grade I with LVEF ≥40% were selected as control group. On the base of analyses of clinical data, logistic analyses were used to establish its independent risk factors. Results： Univariate analyses showed that ＂atrial fibrillation＂and ＂pulse pressure ≥ 70mmHg＂ in the observation group were increased significantly than that in the control group （P〈0.05）. Logistic analyses showed that ＂pulse pressure≥ 70mmHg＂ and ＂atrial fibrillation＂were independent factors. Conclusion： ＂pulse pressure ≥ 70mmHg＂ and ＂atrial fibrillation＂ were independent factors of DCM with CHF. It is necessary to be alert when these two indicators are abnormal in the clinical treatment.

关 键 词：扩张型心肌病 充血性心力衰竭 危险因素 logistic多因素分析 

分 类 号：R542.2[医药卫生—心血管疾病] R541.61[医药卫生—内科学]