357例冠心病慢性心力衰竭水停证与超声指标相关性研究  

Relevance between Water Retention Syndrome and Ultrasound Index for 357 Patients with Coronary Artery Disease and Heart Failure

作　　者：罗堃[1] 张鹏[1] 余意[1] 

机构地区：[1]武汉市中医医院心内科,湖北武汉430014

出　　处：《辽宁中医杂志》2014年第3期483-485,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：湖北省卫生厅2011-2012年度中西医结合科研重点项目(2012Z-Z04)

摘　　要：目的:探讨冠心病心衰患者水停证与超声指标之间的相关性。方法:收集冠心病心衰患者357例,以水停证为自变量,以超声指标为因变量,进行二值Logistic回归分析。结果:与非水停证相比,水停证患者LA、LVIDs明显增大,FS、EF显著减低,且差异具有统计学意义(P<0.05)。Logistic回归分析以超声心动20项指标为自变量,水停证为因变量,进行二值Logistic回归分析。CO进入回归方程(P<0.05)。水停证与超声心动指标的回归分析结果为水停证患者CO回归系数为2.864(P<0.05),OR值为17.525,冠心病心衰出现水停证的可能性较大。结论:冠心病心衰患者水停证与超声指标具有一定的相关性。Objective：To discuss the correlation between heart failure patients with coronary heart disease water retention syndrome and ultrasound indicators. Methods：357 cases of coronary heart failure patients of water retention syndrome were collected as independent variables and ultrasound index as the dependent variable for the binary Logistic regression analysis. Results ： Com- pared with non - water retention syndrome, LA and LVIDs of water retention syndrome were increased significantly and FS and EF were significantly lower, and the difference was statistically significant （ P 〈 0. 05 ）. With echocardiography 20 indicators as inde- pendent variables and water retention syndrome as the dependent variable, the binary Logistic regression analysis was carried out. The results suggested CO into the regression equation （ P 〈 0. 05 ）. The regression coefficient of CO was 2. 864 for water retention syndrome and echocardiographic indices regression analysis of patients with water retention syndrome （ P 〈 0. 05 ） , OR = 17. 525. The coronary heart failure has high incidence of water retention syndrome. Conclusion：The coronary heart failure patients Swater re- tention syndrome and echoeardiography have some relevance.

关 键 词：冠心病 慢性心力衰竭 水停证 超声指标 

分 类 号：R541.6[医药卫生—心血管疾病]