摘要
目的分析老年慢性心衰(CHF)患者的流行病学特点及影响其预后的危险因素。方法方便选取2013年1月—2016年12月在中国人民解放军第82医院治疗的149例老年CHF患者的临床资料进行回顾性分析,明确老年CHF的流行病学特点其影响其预后的危险因素。结果流行病学特点显示,老年CHF多发于66~75岁患者,以男性(59.06%)居多,且冠心病(30.20%)为主要发病因素,其次为高血压性心脏病(17.45%);影响老年CHF预后的危险因素为下肢水肿(OR=1.447)、体质量指数(BMI,OR=7.221)及明尼苏达生存质量评分(MLHFQ,OR=7.165),以BMI相关性最强。结论对符合老年CHF流行病学特征的人群及影响其预后的危险因素应给予高度关注,便于对症治疗,并改善预后。
Objective This paper tries to analyze the epidemiological characteristics and the prognosis risk factors of elderly patients with chronic heart failure（CHF）. Methods The clinical data of 149 elderly patients with CHF treated in the82 nd Hospital of PLA from January 2013 to December 2016 were retrospectively analyzed. The clinic pathological data and risk factors of the prognosis were determined. Results CHF was common in patients aged between 66 and 75 years old, and the majority of them were male（59.06%）. The main cause was coronary heart disease（30.20%）, followed by hypertensive heart disease（17.45%）. The risk factors of the prognosis of elderly patients with CHF included lower extremity edema（OR=1.447）, body mass index（BMI, OR=7.221） and score of Minnesota living with heart failure questionnaire（MLHFQ, OR=7.165）, and the correlation with BMI was the strongest. Conclusion Attention should be paid to risk factors influencing the prognosis of elderly patients with CHF so as to provide references for symptomatic treatment and improvement of the prognosis.
出处
《中外医疗》
2017年第23期71-73,共3页
China & Foreign Medical Treatment
关键词
老年慢性心衰患者
流行病学
预后
危险因素
Elderly patients with chronic heart failure
Epidemiology
Prognosis
Risk factors
