重症社区获得性肺炎患者发生心力衰竭危险因素的分析
Risk factors of heart failure in patients with severe community-acquired pneumonia
许新新 1刘政 2金鹏 2阮燕萍 3何怡华3
作者信息
- 1. 065000 河北中石油中心医院 超声科;首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所 心脏超声医学中心
- 2. 065000 河北中石油中心医院 呼吸科
- 3. 首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所 心脏超声医学中心
- 折叠
摘要
目的:探讨重症社区获得性肺炎患者(severe community-acquired pneumonia,SCAP)发生心力衰竭(heart failure,HF)的危险因素.方法:回顾性收集2021年11月至2023年5月,河北中石油中心医院住院治疗的SCAP 113例患者,合并心力衰竭为病例组(n=53)及未出现HF对照组(n=60).比较两组患者住院期间的临床资料、超声检查参数、实验室参数间的差异,并将P＜0.05的变量纳入多因素Logistic回归模型,评估SCAP患者发生HF的危险因素.结果:纳入53例病例组和60例对照组患者,多因素Logistic回归分析显示,冠心病(OR=3.64,95％CI:1.26～10.53,P=0.02)、心律失常(OR=5.66,95％CI:1.72～18.66,P=0.01)、急性心肌梗死(OR=3.72,95％CI:1.52～9.12,P=0.004)、使用有创呼吸机(OR=3.36,95％CI:1.13～9.98,P=0.03)是SCAP患者发生HF的危险因素.结论:冠心病、心律失常、急性心肌梗死、使用有创呼吸机是SCAP患者发生HF的危险因素.
Abstract
Objective:To investigate the risk factors for heart failure(HF)in severe community-acquired pneumonia(SCAP).Methods:SCAP 113 patients hospitalized in Hebei CNPC Central Hospital from November 2021 to May 2023 were retrospectively collected.They were divided into the case group(n=53)and the control group without HF(n=60).The differences of clinical data,ultrasonic parameters and laboratory parameters during hospitalization were compared between the two groups,and P＜0.05was compared.Multivariate Logistic regression model was used to evaluate the risk factors for HF in SCAP patients.Results:Multivariate Logistic regression analysis showed that coronary heart disease(OR=3.64,95％CI 1.26～10.53,P=0.02),arrhythmia(OR=5.66,95％CI:1.72～18.66,P=0.01),acute myocardial infarction(OR=3.72,95％CI:1.52～9.12,P=0.004),invasive ventilator(OR=3.36,95％CI:1.13～9.98,P=0.03)were risk factors for HF in patients with SCAP(P＜0.05).Conclusions:Coronary heart disease,arrhythmia,acute myocardial infarction,and invasive ventilator use is a risk factor for HF in patients with SCAP.
关键词
重症社区获得性肺炎/心力衰竭/风险因素Key words
Severe community-acquired pneumonia/Heart failure/Risk factor引用本文复制引用
出版年
2024
NETL
NSTL
万方数据