老年慢性心力衰竭住院患者的临床特点和预后分析

Clinical Characteristics and Prognosis of Hospitalized Elderly Patients with Chronic Heart Failure

目的 研究探讨老年慢性心力衰竭住院患者的临床特点和预后。方法 将慢性心力衰竭住院患者108例作为本次研究的对象进行回顾分析,对照组患者为射血分数减低心力衰竭患者;观察组为射血分数保留心力衰竭患者。观察对比两组患者的临床特点和预后情况。结果 观察组患者的年龄、BMI、住院时间、高血压、冠心病以及心房颤动指标数值更高,观察组患者的住院时间、心肌病、糖尿病、肾功能不全以及高脂血症指标数值更低,两组对比差异具有统计学意义(P <0.05);观察组患者的NT-proBNP和尿酸指标明显更低,差异具有统计学意义(P <0.05);观察组患者的LVST、LVPWT等指标更高,观察组患者的LAD、LVEDD、LEST、LVEDV、LVMI以及LVESV等指标更低,差异具有统计学意义(P <0.05);观察组患者的死亡、脑卒中、冠脉事件、心律失常、心衰再住院等不良事件的总发生率更低,对照组预后较差,两组对比差异具有统计学意义(P <0.05)。结论 老年心力衰竭的原因复杂以及老年人的各种基础病,通过临床特征、基础疾病、超声对比以及预后分析研究,促进提高老年心力衰竭的诊断准确率,减少漏诊或误诊的发生,降低并发症的发生风险,对于治疗心力衰竭意义重大。

Objective To study the clinical characteristics and prognosis of elderly hospitalized patients with chronic heart failure. Methods A retrospective analysis of 108 hospitalized patients with chronic heart failure as the object of this study, the control group is the heart failure patients with reduced ejection fraction. The observation group is the heart failure patients with preserved ejection fraction. The clinical characteristics of the two groups are compared and prognosis.Results The observation group had higher index values for age, BMI, length of stay, hypertension,coronary heart disease, and atrial fibrillation, while the observation group had lower hospital stays,cardiomyopathy, diabetes, renal insufficiency, and hyperlipidemia. The contrast difference was statistically significant(P < 0.05). The NT-proBNP and uric acid indexes of the observation group were significantly lower, and the difference was statistically significant(P < 0.05). The observation group had higher LVST, LVPWT and other indexes, LAD, LVEDD, LEST, LVEDV, LVMI and LVESV of the observation group were lower, and the difference was statistically significant(P < 0.05). Death,stroke, coronary events, arrhythmia, heart failure in the observation group. The overall incidence of adverse events such as rehospitalization was lower, the prognosis of the control group was poor, and the difference between the two groups was statistically significant(P < 0.05). Conclusion The causes of heart failure in the elderly are complex and various basic diseases of the elderly. Through clinical features, underlying diseases, ultrasound comparison and prognostic analysis and research, promote the improvement of the diagnostic accuracy of heart failure in the elderly, reduce the occurrence of missed or misdiagnosed, reducing the risk of complications, is of great significance for the treatment of heart failure.