老年女性重症充血性心力衰竭的相关因素分析

目的分析老年女性重症充血性心力衰竭的相关因素。方法入选39例60岁以上老年女性心功能Ⅱ～Ⅳ级的充血性心力衰竭（CHF）患者,其中心功能Ⅱ～Ⅲ级的患者为一组,Ⅳ级的患者为一组。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两组在血红蛋白浓度、血清肌酐水平、慢性肾脏疾病、贫血4个方面有显著性差异（均P〈0.01）,而高血压及糖尿病的发病率两组比较无显著性差异。多因素Logistic回归分析,血红蛋白浓度、血清肌酐水平、慢性肾脏疾病、高血压发病、糖尿病发病均未进入心衰程度回归方程。结论血红蛋白浓度、血清肌酐水平、慢性肾脏疾病可能与心衰程度有临床关联。

Related Factors of Congestive Heart Failure in Elderly Female Patients

Objective To analyze the related factors of congestive heart failure (CHF) in elderly female patients. Methods 39 female patients aged over 60-year-old with chronic CHF were divided into two groups according to the cardiac functional grading. Historical features and data were compared between two groups by single factor and multifactorial regression analysis.Results There were differences between two groups in hemoglobin concentration, serum creatinine, incidence of chronic kidney disease and anemia (P<0.01), but no obvious difference between two groups in morbidity of hypertension and diabetes. And it was n by multifactorial regression analysis showed that hemoglobin concentration, serum creatinine, incidence of chronic kidney disease and anemia could not be in regression equation. Conclusion The hemoglobin concentration, serum creatinine, incidence of chronic kidney disease and anemia may associated with degree of congestive heart failure.