老年慢性肺源性心脏病心力衰竭的相关因素及临床诊治方法探讨.docVIP

老年慢性肺源性心脏病心力衰竭的相关因素及临床诊治方法探讨 　　【摘要】 目的：探讨老年慢性肺源性心脏病心力衰竭的相关因素及临床诊治方法。方法：采用回顾性方法，选取2012年9月-2014年10月本院收治的124例老年慢性肺源性心脏病心力衰竭患者作为观察组，同时选择同期124例老年慢性肺源性心脏病的患者作为对照组，比较分析两组患者的临床资料。结果：通过单因素分析发现，有不良嗜好、年龄≥80岁、体重指数25、病程≥10年、有冠心病、雾霾影响较重等情况的观察组患者发病率均明显高于对照组，差异均有统计学意义（P25、有烟酒等不良嗜好、病程≥10年为老年慢性肺源性心脏病心力衰竭的独立危险因素（P0.05）。经过一系列的治疗，124例患者中有116例患者治愈康复出院，另外有7例患者进行转院治疗，1例患者放弃治疗。结论：根据患者心力衰竭的危险因素以及患者的个体情况，给予患者综合治疗，能够有效降低患者心力衰竭的发生几率，提高治疗效果。 　　【关键词】 老年； 慢性肺源性心脏病； 心力衰竭； 相关因素； 临床诊治 　　Investigation of the Related Factors and Clinical Diagnosis and Treatment Methods of Elderly Patients with Chronic Pulmonary Heart Disease with Heart Failure/YANG Hai-zhong.//Medical Innovation of China，2015，12（23）：131-134 　　【Abstract】 Objective：To investigate the related factors and clinical diagnosis and treatment methods of elderly patients with chronic pulmonary heart disease with heart failure.Method：Using the retrospective method，124 elderly patients with chronic pulmonary heart disease with heart failure admitted to our hospital from September 2012 to October 2014 were selected as the observation group.At the same time，124 elderly patients with chronic pulmonary heart disease were selected as the control group，the clinical data of the two groups were compared and analyzed.Result：Through the single factor analysis found that，the morbidity of patients in the observation group who had a history of alcohol abuse，age≥80 years old，body mass index25，course of disease≥10 years，with coronary heart disease and heavy effects of haze were significantly higher than the control group，the differences were statistically significant（P25，with bad habits such as alcohol and tobacco，course of disease≥10 years were independent risk factors of elderly patients with chronic pulmonary heart disease with heart failure（P0.05）.After a series of treatment，in 124 cases，116 patients were cured and 7 patients transfered to another hospital，1 patient gave up treatment.Conclusion：According to the risk factors and patients’ individual c