老年顽固性心力衰竭患者发生低血压的危险因素分析  

Analysis on the Risk Factors for the Occurrence of Low Blood Pressure in Elderly Patients with Refractory Heart Failure

作　　者：任凌之 郭志华 REN Lingzhi;GUO Zhihua(Department of Cardiology,He'nan Rongjun Hospital,Xinxiang 453000,China)

机构地区：[1]河南省荣军医院心内科,河南新乡453000

出　　处：《临床医学工程》2024年第12期1561-1562,共2页Clinical Medicine & Engineering

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20190487)。

摘　　要：目的探讨老年顽固性心力衰竭(RHF)患者发生低血压(LBP)的危险因素。方法选取2020年10月至2023年9月我院收治的90例RHF患者,根据LBP发生情况分为发生组和未发生组,比较两组的一般资料,采用多因素Logistic回归分析探讨老年RHF患者发生LBP的危险因素。结果90例老年RHF患者中,LBP发生率为21.11%(19/90)。单因素和多因素Logistic回归分析显示,心率过快、NT-proBNP水平偏高、HDL-C水平偏低是老年RHF患者发生LBP的危险因素(OR>1,P<0.05)。结论老年RHF患者的LBP发生风险较高,LBP的发生与心率过快、NT-proBNP水平偏高、HDL-C水平偏低密切相关。Objective To explore the risk factors for the occurrence of low blood pressure(LBP)in elderly patients with refractory heart failure(RHF).Methods According to the occurrence of LBP,90 elderly patients with RHF admitted to our hospital from October2020 to September 2023 were selected and divided into the occurrence group and the non-occurrence group.The general data of the two groups were compared.Multivariate Logistic regression analysis was used to explore the risk factors for the occurrence of LBP in elderly patients with RHF.Results The incidence of LBP was 21.11%(19/90)in 90 elderly patients with RHF.Univariate analysis and multivariate Logistic regression analysis showed that rapid heart rate,high NT-proBNP level and low HDL-C level were risk factors for the occurrence of LBP in elderly patients with RHF(OR>1,P<0.05).Conclusions The occurrence risk of LBP in elderly patients with RHF is high.The occurrence of LBP is closely related to rapid heart rate,high NT-proBNP level and low HDL-C level.

关 键 词：老年 顽固性心力衰竭 低血压 危险因素 

分 类 号：R541.6[医药卫生—心血管疾病]