摘要
目的:观察老年高血压患者发生心力衰竭的影响因素.方法:回顾性分析福鼎市疾病预防控制中心 2020 年 1-12 月收集的 215 例老年高血压患者的临床资料,统计 215 例老年高血压患者发生心力衰竭的情况,依据是否发生心力衰竭分为发生组和未发生组.比较两组一般资料,采用多因素Logistic回归分析老年高血压患者发生心力衰竭的影响因素.结果:215 例老年高血压患者发生心力衰竭 22 例,占 10.23%(22/215).发生组年龄≥70 岁、女性、体质量指数≥24.0 kg/m2、吸烟史、合并糖尿病、合并冠心病、血压控制不达标占比均高于未发生组,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,年龄≥70 岁、女性、体质量指数≥24.0 kg/m2、有吸烟史、合并糖尿病、合并冠心病、血压控制不达标等均为老年高血压患者发生心力衰竭的危险因素(OR>1,P<0.05).结论:年龄≥70 岁、女性、体质量指数≥24.0 kg/m2、有吸烟史、合并糖尿病、合并冠心病、血压控制不达标等均为老年高血压患者发生心力衰竭的危险因素.
Abstract
Objective:To observe influencing factors of heart failure in elderly patients with hypertension.Methods:The clinical data of 215 elderly patients with hypertension collected by Fuding Center for Disease Control and Prevention from January to December 2020 were retrospectively analyzed.The incidence of heart failure in the 215 elderly patients with hypertension was analyzed.According to whether heart failure occurred,they were divided into occurrence group and non-occurrence group.The general data of the two groups were compared.Multivariate Logistic regression analysis was used to analyze the influencing factors of heart failure in the elderly patients with hypertension.Results:Among the 215 elderly patients with hypertension,22 cases developed heart failure,accounting for 10.23%(22/215).The proportions of the patients with age≥70 years old,female,body mass index≥24.0 kg/m2,smoking history,combined diabetes,combined coronary heart disease,and poor blood pressure control in the occurrence group were higher than those in the non-occurrence group,and the differences were statistically significant(P<0.05).Multivariate Logistic regression analysis showed that age≥70 years old,female,body mass index≥24.0 kg/m2,smoking history,combined diabetes,combined coronary heart disease,and poor blood pressure control were all risk factors for heart failure in the elderly patients with hypertension(OR>1,P<0.05).Conclusions:Age≥70 years old,female,body mass index≥24.0 kg/m2,smoking history,combined diabetes,combined coronary heart disease,and poor blood pressure control are the risk factors for heart failure in the elderly patients with hypertension.
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