心脏彩超和临床参数预测老年心衰合并肌少症的诊断价值  

The Value of Cardiac and Clinical Parameters in Predicting Sarcopenia in Elderly Patients with Heart Failure

作　　者：黄菲 HUANG Fei(Ultrasonography,Quanzhou First Hospital,Fujian Province,Fujian Quanzhou 362000)

机构地区：[1]福建省泉州市第一医院超声医学科,福建泉州362000

出　　处：《中国医疗器械信息》2025年第6期20-22,35,共4页China Medical Device Information

摘　　要：目的:本研究旨在评估心脏彩超和临床指标对于预测老年心力衰竭患者合并肌少症的价值,并探讨相关危险因素。方法:纳入66例合并肌少症患者和117例未合并肌少症患者,比较两组患者的心脏彩超参数和临床指标。进行多因素Logistic回归分析以确定独立危险因素,并通过ROC曲线分析评估预测模型的性能。结果:合并肌少症组的左心室射血分数(LVEF)、左心室舒张末期直径(LVEDD)、左心室收缩末期直径(LVESD)均显著低于未合并肌少症组(P<0.01),同时合并肌少症组的心力衰竭程度、合并糖尿病、合并高血压明显高于未合并肌少症组(P<0.05)。多因素Logistic回归分析显示,LVEF、LVEDD、LVESD、心力衰竭程度、合并高血压是老年心力衰竭患者肌少症发生的独立危险因素(P<0.05)。ROC曲线分析结果显示,心脏彩超参数和临床指标联合预测老年心力衰竭患者合并肌少症的灵敏度和特异度均高于单独预测。结论:结合心脏彩超和临床指标可以更准确地预测老年心力衰竭患者是否合并肌少症。LVEF、LVEDD、LVESD、心力衰竭程度和合并高血压是肌少症发生的独立危险因素,提供了早期干预和治疗的重要参考依据。Objective:This study aimed to assess the value of echocardiography and clinical parameters in predicting the presence of sarcopenia in elderly heart failure patients and explore related risk factors.Methods:66 patients with sarcopenia and 117 without sarcopenia were included to compare echocardiographic parameters and clinical indicators between the two groups.Multivariable Logistic regression analysis was conducted to identify independent risk factors,and the performance of the predictive model was evaluated through ROC curve analysis.Results:The sarcopenia group exhibited significantly lower left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),and left ventricular end-systolic diameter(LVESD)compared to the non-sarcopenia group(P<0.01).Additionally,the sarcopenia group showed higher levels of heart failure severity,diabetes comorbidity,and hypertension comorbidity than the non-sarcopenia group(P<0.05).Multivariable Logistic regression analysis revealed that LVEF,LVEDD,LVESD,heart failure severity,and hypertension comorbidity were independent risk factors for sarcopenia in elderly heart failure patients(P<0.05).ROC curve analysis demonstrated that the combined prediction of echocardiographic parameters and clinical indicators had higher sensitivity and specificity for predicting sarcopenia in elderly heart failure patients compared to individual predictions.Conclusion:Combining echocardiography and clinical parameters can enhance the accuracy of predicting sarcopenia in elderly heart failure patients.LVEF,LVEDD,LVESD,heart failure severity,and hypertension comorbidity were identified as independent risk factors for sarcopenia,providing important considerations for early intervention and treatment.

关 键 词：心脏彩超 老年心力衰竭 肌少症 临床指标 预测模型 

分 类 号：R445.1[医药卫生—影像医学与核医学]