首页|中性粒细胞/淋巴细胞比值与老年冠心病合并心力衰竭患者全因死亡的关系分析

中性粒细胞/淋巴细胞比值与老年冠心病合并心力衰竭患者全因死亡的关系分析

Relationship between neutrophil/lymphocyte ratio and all-cause mortality in elderly patients with coronary heart disease and heart failure

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目的 探讨中性粒细胞/淋巴细胞比值(NLR)与老年冠心病合并心力衰竭患者全因死亡的关系.方法 回顾性分析2015年2月至2019年9月永康市中医院收治的老年冠心病合并心力衰竭患者286例,电话随访至2022年9月,分成存活组172例,死亡组114例,分析影响患者死亡的相关因素,采用多因素Cox比例回归模型分析NLR与老年冠心病合并心力衰竭患者出院后全因死亡的关系.结果 存活组NLR为(3.83±1.60),低于死亡组(5.41±1.88),差异有统计学意义(t=4.913,P<0.001).多因素Cox比例回归分析结果显示,NLR是老年冠心病合并心力衰竭的患者出院后全因死亡的独立预测因素(HR=1.146,95%CI=1.049~1.251,P=0.002).结论 NLR对老年冠心病合并心力衰竭患者出院后全因死亡具有一定的预测价值.
Objective To explore the relationship between neutrophil/lymphocyte ratio(NLR)and all-cause mortality in elderly patients with coronary heart disease(CHD)and heart failure.Methods Clinical data of 286 elderly patients with CHD and heart failure who were admitted from February 2015 to September 2019 in Yongkang Hospital of Traditonal Chinese Medicine were retrospectively analyzed.The patients were followed up by telephone until September 2022.Among them,172 cases survived and 114 cases died.The factors related to the death of the patients were analyzed.Multivariate Cox proportional regression model was used to analyze the correlation of NLR with all-cause mortality after discharge in elderly patients with CHD and heart failure.Results NLR was significantly higher in the survival group(3.83±1.60)than in the death group(5.41±1.88)(P<0.001).Multivariate Cox proportional regression analysis showed that NLR was an independent predictor for all-death mortality after discharge in elderly patients with CHD and heart failure(HR=1.146,95%CI=1.049-1.251,P=0.002).Conclusion NLR is an independent predictor for long-term all-cause mortality in elderly patients with CHD and heart failure.

Coronary heart diseaseHeart failureAll-cause deathNeutrophil/lymphocyte ratio

王标、胡国豪、陈灵敏、周丹

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321300 永康市中医院急诊科

永康市第一人民医院急诊科

冠心病 心力衰竭 全因死亡 中性粒细胞/淋巴细胞比值

2024

心电与循环
浙江省医学会

心电与循环

影响因子:0.269
ISSN:2095-3933
年,卷(期):2024.43(3)
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