摘要
目的探讨住院心力衰竭患者的预后相关因素。方法回顾性分析2008—2011年我院心内科住院的312例心力衰竭患者的临床资料，采用χ2检验、成组t检验以及mann—whitneyU检验比较存活组与死亡组临床指标差异，将初筛有意义的变量引入二分类多元Logistic回归方程确定最优回归模型。结果住院心力衰竭存活组与死亡组的年龄、呼吸频率、氧饱和度、脑钠肽（brainnatriureticpeptide，BNP）、肌钙蛋白I（cardiactroponinI，cTnI）差异有统计学意义（P〈0．05）；年龄、BNP及cTnI水平与住院心力衰竭患者6个月存活率呈负相关，氧饱和度与预后呈正相关（P〈0．05）。结论高龄、氧饱和度低、BNP及cTnI水平升高是住院心力衰竭预后不良的高危因素。
Objective To analyze the factors related to outcome of patients hospitalized for heart failure. Methods We retro- spectively analyzed 312 patients hospitalized for heart failure between January 1,2008 and December 31,2011 at internal medicine-car- diovascular department in our hospital. The correlation between the outcome of heart failure and the factors chosen by chi-square test, independent-sample t test and mann-whitney u test was assessed by Logistic regression analysis. Results There were significant in age, respiratory rate, oxygen saturation, BNP and cTnI concentration between the survival and the dead patients（P 〈 0. 05 ）. Age, BNP and cTnI concentration were negatively associated with 6-month mortality while oxygen saturation was positively associated with 6- month mortality. Conclusions The older age,lower oxygen saturation, higher BNP and cTnI Concentrations might indicate an unfavour- able outcome in patients hospitalized for heart failure.
出处
《实用医院临床杂志》
2013年第5期87-88,共2页
Practical Journal of Clinical Medicine
关键词
心力衰竭
脑钠肽
肌钙蛋白
预后
Heart failure
Brain natriuretie peptide
Troponin
Outcome
