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老年顽固性心力衰竭患者发生低血压的危险因素分析

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目的 探讨老年顽固性心力衰竭(RHF)患者发生低血压(LBP)的危险因素.方法 选取 2020 年 10 月至 2023 年9 月我院收治的90例RHF患者,根据LBP发生情况分为发生组和未发生组,比较两组的一般资料,采用多因素Logistic回归分析探讨老年RHF患者发生LBP的危险因素.结果 90 例老年RHF患者中,LBP发生率为 21.11%(19/90).单因素和多因素Logis-tic回归分析显示,心率过快、NT-proBNP水平偏高、HDL-C水平偏低是老年RHF患者发生LBP的危险因素(OR>1,P<0.05).结论 老年RHF患者的LBP发生风险较高,LBP的发生与心率过快、NT-proBNP水平偏高、HDL-C水平偏低密切相关.
Analysis on the Risk Factors for the Occurrence of Low Blood Pressure in Elderly Patients with Refractory Heart Failure
Objective To explore the risk factors for the occurrence of low blood pressure(LBP)in elderly patients with refractory heart failure(RHF).Methods According to the occurrence of LBP,90 elderly patients with RHF admitted to our hospital from October 2020 to September 2023 were selected and divided into the occurrence group and the non-occurrence group.The general data of the two groups were compared.Multivariate Logistic regression analysis was used to explore the risk factors for the occurrence of LBP in elderly patients with RHF.Results The incidence of LBP was 21.11%(19/90)in 90 elderly patients with RHF.Univariate analysis and multivariate Logistic regression analysis showed that rapid heart rate,high NT-proBNP level and low HDL-C level were risk factors for the occurrence of LBP in elderly patients with RHF(OR>1,P<0.05).Conclusions The occurrence risk of LBP in elderly patients with RHF is high.The occurrence of LBP is closely related to rapid heart rate,high NT-proBNP level and low HDL-C level.

ElderlyRefractory heart failureLow blood pressureRisk factor

任凌之、郭志华

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河南省荣军医院心内科,河南 新乡 453000

老年 顽固性心力衰竭 低血压 危险因素

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(12)