呼吸道感染诱发心力衰竭患者相关因素研究分析

Related factors for heart failure caused by respiratory tract infections

目的探讨呼吸道感染诱发心力衰竭患者的多项相关因素,为呼吸道感染诱发心力衰竭的治疗提供依据。方法回顾性分析2009年1月-2011年12月医院心内科800例呼吸道感染诱发心力衰竭患者的临床资料,并对其日常生活习惯做问卷调查,结果由专业人员统一进行统计,进行单因素和多因素logistic分析。结果单因素分析结果,患有高血压、糖尿病、抑郁、失眠是感染引起的心力衰竭的危险因素,分别占71.50%、66.63%、61.50%、65.25%,均显著高于无危险因素者,差异有统计学意义(P<0.05);多因素logistic回归分析,失眠(OR=6.452)、高血压(OR=5.535)、糖尿病(OR=5.163)3个因素是感染引起的心力衰竭患者发病的高危因素(P<0.05)。结论呼吸道感染诱发心力衰竭患者多项相关因素中失眠、高血压和糖尿病是主要因素,如有上述症状者,应严格关注心肌损伤而导致的心力衰竭疾病。

OBJECTIVE To investigate the related factors for the heart failure caused by respiratory tract infections so as to provide the basis for the treatment of heart failure induced by respiratory tract infections.METHODS The clinical data of 800 cases of respiratory infections-induced heart failure from Jan 2009 to Dec 2011 in the department of cardiology were taken for retrospective analysis.The daily habits were taken for questionnaire survey,and the results were carried out by professionals unified statistics and were taken for univariate and multivariate logistic analysis.RESULTS The results of univariate analysis showed that suffering from hypertension,diabetes,depression,and often staying up late were the risk factors of heart failure and infection,accounting for 71.50%,66.63%,61.50%,and 65.25%,respectively,significantly higher than those without the risk factors,the differences were statistically significant（P0.05）.The multivariate logistic regression analysis showed that the insomnia（OR= 6.452）,hypertension（OR= 5.535）,and diabetes（OR= 5.163） were the three high-risk factors for the infection-induced heart failure（P0.05）.CONCLUSION The insomnia,hypertension,and the diabetes are the main risk factors for the respiratory tract infections-induced heart failure,thus,it is necessary to pay great attention to the myocardial damage-induced heart failure.