92例老年慢性心力衰竭患者死亡相关因素分析  

Related factors of death caused by chronic heart failure in 92 cases of elderly patients

作　　者：董建新[1] 王宝芝[1] Dong Jianxin;Wang Baozhi(Affiliated Hospital of Medical College of Jiaying University, Meizhou 514031, China)

机构地区：[1]嘉应学院医学院附属医院,广东梅州514031

出　　处：《中国实用医刊》2019年第5期73-76,共4页Chinese Journal of Practical Medicine

摘　　要：目的分析影响老年慢性心力衰竭患者死亡的相关因素,为临床治疗老年心力衰竭提供依据。方法选择2009年12月至2015年12月在嘉应学院医学院附属医院就诊住院的老年心力衰竭死亡患者(全因死亡)且资料完整者92例为研究组,并随机抽取100例治疗好转的心力衰竭患者作为对照组。分析两组患者血红蛋白(Hb)、红细胞分布宽度(RDW)、超敏C反应蛋白(hs-CRP)、氨基末端脑钠肽前体(NT-proBNP)、左心室射血分数(LVEF)、肌酐(Cr)、尿酸(UA)、血钾、血钠水平及性别、年龄、病程、病因、依从性、经济状况的差异。结果研究组RDW、hs-CRP、NT-proBNP、Cr、UA水平及年龄、病程、依从性差及经济状况差患者比例高于对照组,而Hb、血钾、血钠水平低于对照组,差异有统计学意义(P<0.05)。研究组与对照组男女比例、LVEF、血糖水平比较差异未见统计学意义(P>0.05)。结论RDW、hs-CRP、NT-proBNP、Cr、UA、Hb、血钾、血钠水平及依从性和经济条件是老年心力衰竭患者死亡的重要预测因子。Objective To analyze the related factors of death in elderly patients with chronic heart failure (CHF), so as to provide the reference for treatment. Method Ninety-two elderly patients who died for CHF in Affiliated Hospital of Medical College of Jiaying University but had complete clinical data, from December 2009 to December 2015, were selected as study group. And 100 elderly patients with CHF who were recovered after treatment were selected as control group. The levels of hemoglobin (Hb), red blood cell distribution width (RDW), high-sensitivity C reactive protein (hs-CRP), amino-terminal pro-brain natriuretic peptide (NT-proBNP), left ventricular ejection fraction (LVEF), creatinine (Cr), uric acid (UA), potassium, sodium and gender, age, disease duration, etiology, compliance, economic conditions of the two groups were compared. Result The level of RDW, hs-CRP, NT-proBNP, Cr, UA and the age, disease duration, the ratio of cardiac function Ⅳ, the poor compliance and poor economic conditions in study group were high than those in control group (P<0.05). While the levels of HB, potassium, sodium in study group were lower than those in control group (P<0.05). The differences in male to female ratio, LVEF, blood glucose were not significant between the two groups (P> 0.05). Conclusoins The level of the RDW, hs-CRP, NT-proBNP, Cr, UA, HB, pottassium, sodium and compliance and economic conditions were important predictors of mortality in elderly patients with CHF.

关 键 词：慢性 死亡 相关因素 分析 

分 类 号：R541.6[医药卫生—心血管疾病]