摘要
目的分析慢性心力衰竭患者病情短期恶化的相关因素。方法抽取2018年3月至2022年12月南阳医学高等专科学校第一附属医院收治的慢性心力衰竭患者104例作为研究对象。收集患者的临床资料,统计病情短期恶化情况,比较病情恶化和非恶化患者性别、年龄、有无吸烟史、是否合并高脂血症、是否规范用药、是否定期返院随访等临床资料的差异,分析慢性心力衰竭患者病情短期恶化的影响因素。结果本组104例慢性心力衰竭患者中,病情短期恶化33例,非恶化71例,病情短期恶化率31.73%(33/104)。慢性心力衰竭患者病情短期恶化和非恶化者的性别比较差异未见统计学意义(P>0.05),恶化者年龄≥60岁、有吸烟史、有饮酒史、合并高脂血症、合并糖尿病、心律失常、血压控制不达标、不良嗜好控制较差、饮食习惯未坚持低盐限水、规范用药较差、未适量运动康复、未定期返院随访率较非恶化者高(P<0.05)。Logistic回归分析显示,年龄≥60岁、有吸烟史、有饮酒史、合并高脂血症、合并糖尿病、心律失常、血压控制不达标、不良嗜好控制较差、饮食习惯未坚持低盐限水、规范用药较差、未适量运动康复、未定期返院随访是慢性心力衰竭患者病情短期恶化的危险因素(P<0.05)。结论慢性心力衰竭患者病情短期恶化影响因素较多,合并基础疾病、不良生活习惯和治疗依从性差等均为影响病情恶化的危险因素,临床可针对高风险患者加强预防干预力度,降低病情短期恶化风险。
Objective To analyze the related factors of short-term deterioration in patients with chronic heart failure.Methods A total of 104 patients with chronic heart failure treated in the First Affiliated Hospital of Nanyang Medical College from March 2018 to December 2022 were selected as the research objects.The clinical data of the selected patients were collected,and the short-term deterioration of the selected patients were recorded.The differences in clinical data,such as gender,age,smoking history,concomitant hyperlipidemia,standardized medication,and regular return to the hospital,were compared between the deteriorated and non-deteriorated patients.And the influencing factors of short-term deterioration of chronic heart failure were analyzed.Results Among the 104 patients with chronic heart failure in the study,33 cases had short-term deterioration,71 cases had non short-term deterioration,the short-term deterioration rate was 31.73%(33/104).There was no significant difference in gender between patients with short-term deterioration and non-deterioration of chronic heart failure(P>0.05).Compared with patients without deterioration,the patients with short-term deterioration had a higher rate of age≥60 years,a history of smoking,a history of drinking,concomitant hyperlipidemia,concomitant diabetes,arrhythmia,poor blood pressure control,poor control of bad hobbies,no insistance on low-sodium and water restriction diet,poor standard medication,lack of appropriate exercise rehabilitation,and no regular return to hospital follow-up(P<0.05).Results of logistic regression analysis showed that age≥60 years,smoking history,drinking history,concomitant hyperlipidemia,concomitant diabetes,arrhythmia,poor blood pressure control,poor control of bad hobbies,no insistance on low-sodium and water restriction diet,poor standard medication,lack of appropriate exercise rehabilitation,and no regular return to hospital follow-up were risk factors for short-term deterioration of patients with chronic heart failure(P<0.05).Conclus
作者
朱芸
杨盛
杨阳
Zhu Yun;Yang Sheng;Yang Yang(Special Ward,the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,China;WardⅢ,Department of Cardiovascular Medicine,the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,China)
出处
《中国实用医刊》
2023年第22期73-76,共4页
Chinese Journal of Practical Medicine
关键词
心力衰竭
病情短期恶化
影响因素
Heart failure
Short-term deterioration of disease
Influencing factor
