高血压所致心力衰竭预后影响因素分析  

Analysis of prognostic factors for hypertensive heart failure

作　　者：彭沛驰 刘文娴[1] 赵晗[1] 任燕龙[1] 曹佳宁[1] 朱佳佳[1] Peng Peichi;Liu Wenxian;Zhao Han(Department of CCU,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029)

机构地区：[1]首都医科大学附属北京安贞医院CCU,北京100029

出　　处：《中国现代医药杂志》2018年第4期9-13,共5页Modern Medicine Journal of China

基　　金：北京市自然科学基金资助项目(编号:7184205)

摘　　要：目的分析高血压所致心力衰竭预后影响因素。方法采用回顾性分析方法,收集178例高血压所致心力衰竭患者的临床资料,包括年龄、性别、体质指数、伴随疾病、入院相关检查结果等,并进行随访了解目前生存状态,经单因素分析、ROC曲线分析及Cox生存分析确定高血压所致心力衰竭患者死亡的预测因素。结果 178例患者中男136例,女42例;其中163例生存,15例死亡。单因素分析显示,年龄及是否合并心房颤动是高血压所致心衰患者死亡的危险因素。ROC曲线分析显示年龄对于患者死亡有预测意义。Cox回归分析显示房颤是高血压所致心力衰竭患者死亡的独立预测因素。结论房颤是高血压所致心力衰竭患者死亡的独立预测因素。Objective To evaluate the prognostic factors of hypertensive heart failure(HHF).Methods Retrospectively studied the information of 178 patients with HHF,including age,gender,BMI,concomitant diseases and test results,and follow_up had been done.Univariate analysis,ROC analysis and Cox survival analysis were performed to identify predictors of HHF death.Results Among 178 patients,136 cases were male and 42 cases were female.163 cases were survival,while 15 cases were dead,Univariate analysis showed that age and atrial fibrillation were risk factors of HHF.ROC analysis showed that age was of a certain significance in the prediction of HHF death.Cox survival analysis showed that atrial fibrillation was an independent predictor of HHF death.Conclusion Atrial fibrillation is an indepentent predictor of HHF death.

关 键 词：高血压所致心力衰竭 预后 影响因素 心房颤动 

分 类 号：R541.6[医药卫生—心血管疾病]