189例老年慢性心力衰竭患者长期非规范化治疗的影响因素分析  

Analysis of influencing factors of long-term non-standardized treatment in 189 elderly patients with chronic heart failure

作　　者：王锋 唐明武 WANG Feng;TANG Ming-wu(Internal Medicine Department,Hanzhong Railway Hospital,Hanzhong 723000,China)

机构地区：[1]汉中铁路医院内科,陕西汉中723000

出　　处：《临床医学研究与实践》2018年第32期33-35,共3页Clinical Research and Practice

摘　　要：目的探讨189例老年慢性心力衰竭患者长期非规范化治疗的影响因素。方法回顾性选择我院收治的475例老年慢性心力衰竭患者,根据是否规范化治疗分为两组,其中出院后行规范化治疗为A组(286例),出院后行非规范治疗为B组(189例)。两组患者住院期间均根据《中国心力衰竭诊断及治疗指南2014》指导患者用药。比较两组预后情况,并分析影响患者长期非规范化治疗的因素。结果 A组的死亡率、再住院率、再住院次数均明显低于B组,死亡病例存活年限明显高于B组(P<0.05)。单因素结果显示,居住地、职业、月收入及文化程度是影响老年慢性心力衰竭长期非规范化治疗的可能因素(P<0.05);Logistic回归分析结果表明,上述因素均是影响老年慢性心力衰竭长期非规范化治疗的危险因素(P<0.05)。结论居住地、职业、月收入及文化程度是影响老年慢性心力衰竭长期非规范化治疗的危险因素。因此,临床需重视有上述因素的患者,促使其能够进行长期规范化治疗,进而改善患者预后效果。Objective To explore the influencing factors of long -term non-standardized treatment in 189 elderlypatients with chronic heart failure. Methods A total of 475 elderly patients with chronic heart failure treated in ourhospital were retrospectively selected and divided into two groups according to whether the treatment was standardized.Group A （286 cases） received standardized treatment after discharge and groupB （189 cases） received non-standardizedtreatment after discharge. During hospitalization, the two groups were guided to use drugs by the Chinese Heart FailureDiagnosis and Treatment Guidelines 2014. The prognosis of the two groups was compared and the factors influencing long-term non-standardized treatment were analyzed. Results The mortality, re-hospitalization rate and re-hospitalizationstimes of the group A were were significantly lower than those of the group B, and the survival time of death cases wassignificantly higher than that of the groupB （P 〈0.05）. The results of univariate analysis showed that residence,occupation, monthly income and educational level were the possible factors influencing long -term non -standardizedtreatment in elderly patients with chronic heart failure （P〈0.05）, and the results of Logistic regression analysis showedthat the above factors were risk factors influencing long-term non-standardized treatment in elderly patients with chronicheart failure （P〈0.05）. Conclusion Residence, occupation, monthly income and educational level are the risk factorsinfluencing long-term non-standardized treatment in elderly patients with chronic heart failure. Therefore, clinical treatmentshould pay attention to patients with above factors, so as to promote long-term standardized treatment, and then improvethe prognosis of patients.

关 键 词：老年慢性心力衰竭 长期规范化治疗 危险因素 

分 类 号：R541.6[医药卫生—心血管疾病]