急性心力衰竭患者并发心肾综合征的影响因素分析  

Influencing factors of occurrence of cardiorenal syndrome in patients with acute heart failure

作　　者：隋赟[1] 马立宁 高琳琳 Sui Yun;Ma Lining;Gao Linlin(Department of Internal Medicine,Jinan Second People’s Hospital,Jinan 250001,China;Department of Composition Preparation,Jinan Blood Supply and Insurance Center,Jinan 250001,China)

机构地区：[1]济南市第二人民医院内科,济南250001 [2]济南市血液供保中心成分制备科,济南250001

出　　处：《中国实用医刊》2023年第1期6-9,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨急性心力衰竭患者并发心肾综合征的影响因素。方法抽取2018年1月至2020年12月济南市第二人民医院收治的80例急性心力衰竭患者作为研究对象,观察患者并发心肾综合征情况,并调查患者的基线资料,分析可能导致急性心力衰竭患者并发心肾综合征的影响因素。结果 80例患者中,21例并发心肾综合征(占26.25%),将其纳入并发心肾综合征组;59例未并发心肾综合征患者纳入未并发心肾综合征组。并发心肾综合征组合并糖尿病或低钠血症的例数、既往发生心力衰竭次数、入院时血清肌酐水平、呋塞米使用量与未并发心肾综合征组比较,差异有统计学意义(P<0.05);组间其他资料比较差异未见统计学意义(P>0.05)。Logistic回归分析结果显示,合并糖尿病或低钠血症、既往发生心力衰竭次数≥2次、入院时血清肌酐水平高、呋塞米使用量≥160 mg/d均为急性心力衰竭患者并发心肾综合征的影响因素(OR均>1,P均<0.05)。结论合并糖尿病或低钠血症、既往发生心力衰竭次数≥2次、入院时血清肌酐水平高、呋塞米使用量≥160 mg/d均为急性心力衰竭患者并发心肾综合征的影响因素。Objective To investigate the influencing factors of occurrence of cardiorenal syndrome in patients with acute heart failure.Methods Eighty patients with acute heart failure admitted to Jinan Second People’s Hospital from January 2018 to December 2020 were selected as the research objects.The occurrence of cardiorenal syndrome in these patients was observed,and the baseline data of these patients were investigated to analyze the influencing factors of occurrence of cardiorenal syndrome in patients with acute heart failure.Results Among the 80 patients,21 cases were complicated by cardiorenal syndrome,accounting for 26.25%and were included in the cardiorenal syndrome group.Fifty-nine patients without cardiorenal syndrome were included into the non-cardiorenal syndrome group.There were significant differences in the number of the patients with diabetes mellitus or hyponatremia,the frequency of previous heart failure,serum creatinine level on the day of admission,and dose of furosemide between the cardiorenal syndrome group and the non-cardiorenal syndrome group(P<0.05);and there was no significant difference in other data between the cardiorenal syndrome group and the non-cardiorenal syndrome group(P>0.05).Results of Logistic regression analysis showed that diabetes mellitus,hyponatremia,frequency of previous heart failure more than 2 times,high serum creatinine level on the day of admission,dose of furosemide more than 160 mg/d were the influencing factors of occurrence of cardiorenal syndrome in patients with acute heart failure(all OR>1,all P<0.05).Conclusions Diabetes mellitus,hyponatremia,frequency of previous heart failure more than 2 times,high serum creatinine level on the day of admission,dose of furosemide more than 160 mg/d are the influencing factors of occurrence of cardiorenal syndrome in patients with acute heart failure.

关 键 词：心力衰竭 心肾综合征 糖尿病 血清肌酐 

分 类 号：R541.6[医药卫生—心血管疾病] R692[医药卫生—内科学]