中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
23期
131-133,134
,共4页
老年%慢性肺源性心脏病%心力衰竭%相关因素%临床诊治
老年%慢性肺源性心髒病%心力衰竭%相關因素%臨床診治
노년%만성폐원성심장병%심력쇠갈%상관인소%림상진치
Elderly%Chronic pulmonary heart disease%Heart failure%Related factors%Clinical diagnosis and treatment
目的：探讨老年慢性肺源性心脏病心力衰竭的相关因素及临床诊治方法。方法：采用回顾性方法，选取2012年9月-2014年10月本院收治的124例老年慢性肺源性心脏病心力衰竭患者作为观察组，同时选择同期124例老年慢性肺源性心脏病的患者作为对照组，比较分析两组患者的临床资料。结果：通过单因素分析发现，有不良嗜好、年龄≥80岁、体重指数>25、病程≥10年、有冠心病、雾霾影响较重等情况的观察组患者发病率均明显高于对照组，差异均有统计学意义（P<0.05），以上因素均为老年慢性肺源性心脏病心力衰竭患者的相关因素。将上述相关因素采用多因素Logistic回归分析，结果显示，年龄≥80岁、体重指数>25、有烟酒等不良嗜好、病程≥10年为老年慢性肺源性心脏病心力衰竭的独立危险因素（P<0.05）。经过一系列的治疗，124例患者中有116例患者治愈康复出院，另外有7例患者进行转院治疗，1例患者放弃治疗。结论：根据患者心力衰竭的危险因素以及患者的个体情况，给予患者综合治疗，能够有效降低患者心力衰竭的发生几率，提高治疗效果。
目的：探討老年慢性肺源性心髒病心力衰竭的相關因素及臨床診治方法。方法：採用迴顧性方法，選取2012年9月-2014年10月本院收治的124例老年慢性肺源性心髒病心力衰竭患者作為觀察組，同時選擇同期124例老年慢性肺源性心髒病的患者作為對照組，比較分析兩組患者的臨床資料。結果：通過單因素分析髮現，有不良嗜好、年齡≥80歲、體重指數>25、病程≥10年、有冠心病、霧霾影響較重等情況的觀察組患者髮病率均明顯高于對照組，差異均有統計學意義（P<0.05），以上因素均為老年慢性肺源性心髒病心力衰竭患者的相關因素。將上述相關因素採用多因素Logistic迴歸分析，結果顯示，年齡≥80歲、體重指數>25、有煙酒等不良嗜好、病程≥10年為老年慢性肺源性心髒病心力衰竭的獨立危險因素（P<0.05）。經過一繫列的治療，124例患者中有116例患者治愈康複齣院，另外有7例患者進行轉院治療，1例患者放棄治療。結論：根據患者心力衰竭的危險因素以及患者的箇體情況，給予患者綜閤治療，能夠有效降低患者心力衰竭的髮生幾率，提高治療效果。
목적：탐토노년만성폐원성심장병심력쇠갈적상관인소급림상진치방법。방법：채용회고성방법，선취2012년9월-2014년10월본원수치적124례노년만성폐원성심장병심력쇠갈환자작위관찰조，동시선택동기124례노년만성폐원성심장병적환자작위대조조，비교분석량조환자적림상자료。결과：통과단인소분석발현，유불량기호、년령≥80세、체중지수>25、병정≥10년、유관심병、무매영향교중등정황적관찰조환자발병솔균명현고우대조조，차이균유통계학의의（P<0.05），이상인소균위노년만성폐원성심장병심력쇠갈환자적상관인소。장상술상관인소채용다인소Logistic회귀분석，결과현시，년령≥80세、체중지수>25、유연주등불량기호、병정≥10년위노년만성폐원성심장병심력쇠갈적독립위험인소（P<0.05）。경과일계렬적치료，124례환자중유116례환자치유강복출원，령외유7례환자진행전원치료，1례환자방기치료。결론：근거환자심력쇠갈적위험인소이급환자적개체정황，급여환자종합치료，능구유효강저환자심력쇠갈적발생궤솔，제고치료효과。
Objective:To investigate the related factors and clinical diagnosis and treatment methods of elderly patients with chronic pulmonary heart disease with heart failure.Method:Using the retrospective method,124 elderly patients with chronic pulmonary heart disease with heart failure admitted to our hospital from September 2012 to October 2014 were selected as the observation group.At the same time,124 elderly patients with chronic pulmonary heart disease were selected as the control group,the clinical data of the two groups were compared and analyzed.Result:Through the single factor analysis found that,the morbidity of patients in the observation group who had a history of alcohol abuse,age≥80 years old,body mass index>25,course of disease≥10 years,with coronary heart disease and heavy effects of haze were significantly higher than the control group,the differences were statistically significant(P<0.05),all of the above factors were the related factors of elderly patients with chronic pulmonary heart disease with heart failure.Logistic regression analysis was used to analyze the above factors,the result showed that age≥80 years old,body mass index>25,with bad habits such as alcohol and tobacco,course of disease≥10 years were independent risk factors of elderly patients with chronic pulmonary heart disease with heart failure (P<0.05).After a series of treatment,in 124 cases,116 patients were cured and 7 patients transfered to another hospital, 1 patient gave up treatment.Conclusion:According to the risk factors and patients’ individual condition,the comprehensive treatment can effectively reduce the incidence of heart failure and improve treatment.
