老年慢性心力衰竭伴发心肾综合征的临床特点及相关危险因素logistics回归分析
Clinical features and related risk factors of chronic heart failure in elderly patients with logistics regression analysis

陈东.老年慢性心力衰竭伴发心肾综合征的临床特点及相关危险因素logistics回归分析[J].内科急危重症杂志,2017,23(4):

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中文关键词: 心力衰竭心肾综合征老年患者临床表现 logistics回归分析危险因素

英文关键词:: Heart failure Cardiac and renal syndrome Elderly patients Clinical manifestations Logistics regression analysis Risk factors

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作者	单位	E-mail
陈东	解放军305医院	cditl@163.com

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中文摘要:

【】目的：探究老年慢性心力衰竭伴发心肾综合征(CRS)的临床特点及相关危险因素。方法:选取2014年3月~2016年5月在我院就诊的184例老年慢性心力衰竭患者作为研究对象,其中未发生CRS患者为非CRS组,伴发CRS患者为CRS组,采用logistics回归对老年患者慢性心力衰竭伴发CRS危险因素进行单因素和多因素分析。结果：45例患者为CRS组,发生率为24.46%,139例为非CRS组占75.95%。两组患者在年龄、心功能分级、糖尿病病史、急性心肌梗死、感染方面差异有统计学意义(P＜0.05)；在性别、肺心病病史、房颤病史、脑血管病史方面差异无统计学意义(P＞0.05)。CRS组患者多伴有夜间阵发性呼吸困难、肺水肿、少尿、低血压,Hct、ALB、Hb、尿PH水平较低,中性粒细胞比例、BUN、WBC、Cr、CRP、尿蛋白水平较高,差异有统计学意义(P＜0.05)。引入多因素Logistic回归方程的变量为糖尿病史、年龄、入院期间Cr水平、Hb水平、CRP水平。结论：有糖尿病史、高龄,入院期间Cr水平、CRP水平上升,Hb水平降低为老年患者心力衰竭并发CRS的高危因素。

英文摘要:

Objective: To explore the clinical characteristics and risk factors of chronic heart failure (CRS) in elderly patients with chronic heart failure.Methods: 184 cases of elderly patients with chronic heart failure in our hospital from March 2014 to May 2016 were selected as the study subjects, and the patients without CRS were non CRS group, and the patients with CRS were CRS group,Logistics regression was used to analyze the single factor and multi factor analysis of CRS risk factors in elderly patients with chronic heart failure.Results: 45 cases of patients were CRS group, the incidence rate was 24.46%, 139 cases of patients were non CRS group,the incidence rate was 75.95%.There were significant differences in age, heart function classification, diabetes history, acute myocardial infarction and infection between the two groups (P<0.05),there was no significant difference in terms of gender, pulmonary heart disease, atrial fibrillation, and cerebrovascular history (P>0.05).Patients in the CRS group had more nocturnal paroxysmal dyspnea, pulmonary edema, less urine, and lower blood pressure,The Hct, ALB, Hb, urine PH level was low,The neutrophil percentage, BUN, WBC, Cr, CRP, urinary protein levels were higher, the difference was statistically significant (P<0.05).The history of diabetes , age,Cr level,Hb level and CRP level was introduced into the multivariate Logistic regression equation. Conclusion: The history of diabetes, advanced age, Cr level, CRP level, Hb level decreased in elderly patients with heart failure and high risk factors of CRS.