文档介绍：老年女性重度充血性心力衰竭的相关因素
作者:肖铁卉王士雯徐斌张新勇朱庆磊李泱
【摘要】目的: 对老年女性重度充血性心力衰竭的相关因素进行分析. 方法: 入选78例60岁以上老年女性,NYHA分级II~IV级的CHF 患者, NYHA分级II~III级的CHF 患者为一组, NYHA分级IV级的CHF患者为一组. 用单因素和多因素分析比较两组患者间的特点. 结果: 单因素分析结果显示在血红蛋白浓度、血清肌酐水平、射血分数(LVEF), 贫血4个因素方面,两组比较有统计学差异, P均<,而高血压及糖尿病的发病两组比较无统计学差异. 多因素Logistic回归分析显示:血红蛋白浓度与心衰程度有关. 结论: 血红蛋白浓度与老年女性心衰程度有着很大的相关性.
【关键词】心脏病;心力衰竭;女性,老年;贫血;相关因素
【Abstract】 AIM: To analyze the related factors of severe congestive heart failure in female elderly patients. METHODS: Seventyeight female patients aged over 60 years with a principal diagnosis of chronic heart failure (CHF) were divided into 2 groups according to the different cardiac functional grading. Patients with cardiac functional grading II-III entered one group and patients with cardiac functional grading IV entered the other group. Historical features and data pared between the 2 groups by single factor analysis and multifactorial regression analysis. RESULTS: The singl
e factor analysis showed that there were differences between the 2 groups in respects of hemoglobin concentration, serum creatinine, incidence rate of anemia and level of LVEF (P<), but there was no obvious difference between them in the morbidity of hypertension and diabetes. The multifactorial regression analysis revealed that there was a correlation between hemoglobin concentration and heart failure. CONCLUSION: Hemoglobin co