摘要
目的分析慢性心力衰竭(CHF)合并低钠血症的发病因素。方法选取2018年2月至2020年1月在河南省直属机关第一门诊部心内科住院的138例CHF患者为本次研究对象,根据患者合并低钠血症将其分为低钠组(n=35)和非低钠组(n=103)。采用单因素和多因素Logistic回归分析患者并发低钠血症的相关因素。结果单因素分析显示,低钠组患者有低血钠症史、长期限盐、脑肽钠水平升高、心功能(IV级)患者所占比例高于非低钠组患者(P<0.05)。有低血钠症史、长期限盐、脑肽钠水平升高、心功能(IV级)是CHF合并低血钠症的危险发病因素(P<0.05)。结论CHF合并低钠血症的影响因素较多,因此临床必须加强对此病发病因素的分析与研究,并积极采取预防和处理措施,以降低低钠血症发生率。
【Objective】To analyze the causes of chronic heart failure(CHF)with hyponatremia.【Methods】A total of 138 patients with CHF who were hospitalized in the Department of Cardiology of our hospital from February 2018 to January 2020 were selected as the research object,and they were divided into low sodium group(n=35)and non-hyponatremia group(n=103)according to whether patients complicated with hyponatremia or not.Related factors of hyponatremia were analyzed by univariate and multivariate logistic regression.【Results】Univariate analysis showed that patients in the low-sodium group had a history of hyponatremia,long-term salt restriction,elevated brain peptide sodium levels,and cardiac function(grade IV).The proportion of patients was significantly higher than that in the non-low-sodium group(P<0.05).History of hyponatremia,long-term salt restriction,elevated brain peptide sodium levels,and cardiac function(grade IV)are the risk factors for CHF combined with hyponatremia(P<0.05).【Conclusion】There are many influencing factors for CHF combined with hyponatremia,so clinical analysis and research on the pathogenesis of this disease must be strengthened,and proactive and preventive measures should be taken to reduce the incidence of hyponatremia.
作者
祁昊
QI Hao(The First Inpatient Area of Hypertension,First People's Hospital of Henan Provincial People's Hospital,Zhengzhou,Henan 450000,China)
出处
《中国医学工程》
2021年第3期94-96,共3页
China Medical Engineering
关键词
慢性心力衰竭
低钠血症
发病因素
心功能
并发症
危险因素
chronic heart failure
hyponatremia
pathogenic factors
heart function
complications
risk factors
