影响心力衰竭的相关因素分析

The Analysis of Influence Factors of Heart Failure

目的探讨心力衰竭发作的影响因素,为治疗和预防心力衰竭提供参考资料。方法调查分析我科2010年5—7月收住的心血管疾病患者。结果 (1)195例患者中心功能Ⅰ级92例,平均年龄(76.12±9.94)岁。心功能Ⅱ级以上103例,平均年龄(80.54±7.21)岁。随着年龄的增长,心力衰竭发作的风险性上升,不同年龄组间有显著差异(P<0.01)。(2)BNP、尿酸均与心力衰竭的发作有关,不同级别心力衰竭组间BNP有显著差异,但尿酸无明显差异。(3)多因素Logistic分析发现,心力衰竭的发作与吸烟史、高血压、糖尿病、心肌梗死无关,与年龄、BNP、尿酸有关。结论年龄、BNP、尿酸是心力衰竭发作的危险因素。

Objective To study the influence factors of heart failure （HF） attacks, so as to prevent and treat HF provide reference material. Methods A survey and analysis of May to July hospitalized patients with cardiovascular diseases. Results （ 1 ） Total 195 patients, including HF I level patients 92 people, average age was （76. 12±9. 94） old, and above I1 level patients 103 people, average age was （80. 54±7. 21 ） old. As the growth of the age the risk of HF attack rise, there were significant differences between different age groups （P 〈0. 01）. （2） Brain natriuretic peptide （BNP） and uric acid were associated with the onset of heart failure, and BNP in different levels of heart failure group were significantly different, but no ob- vious difference in uric acid. （3） Many factors Logistic analysis found that the attack of the HF had nothing to do with smoking history, high blood pressure, diabetes and myocardial infarction, but age, BNP and uric acid were risk factors of HF. Conclusion HF has something to do with age, BNP and uric acid.