本文關(guān)鍵詞：心力衰竭患者出院后1年內(nèi)預(yù)后狀況及影響因素分析，由筆耕文化傳播整理發(fā)布。

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·臨床研究·

心力衰竭患者出院后1年內(nèi)預(yù)后狀況及影響因素分析

孫路路*，呂蓉，梁濤，季詩明，康曉鳳，郭金玉，張健

摘要

目的:分析心力衰竭患者出院后1年內(nèi)預(yù)后狀況并探索其影響生存的因素。

方法：采用問卷及電話調(diào)查的方法，收集心力衰竭患者入院前、住院期間及出院后的再住院或死亡等相關(guān)資料；采用Cox回歸方法探討心力衰竭再住院或死亡的影響因素。

結(jié)果：共隨訪258例心力衰竭患者，平均隨訪約7個月。258例心力衰竭患者出院后1、3、6和12個月的因心力衰竭再住院率分別為1.9%、10.1%、14.3%、17.4%；因心力衰竭死亡率分別為2.3%、6.6%、8.9%、11.6%；因心力衰竭的聯(lián)合再住院或死亡率分別為4.3%、16.7%、23.3%、29.1%；Kaplan-Meier生存曲線表明，因心力衰竭的累積再住院或死亡率分別為4.3%、16.7%、23.5%、34.3%。Cox生存分析表明，，性別、手術(shù)治療狀況、血鈉水平、血紅蛋白濃度和NTpro-BNP水平是影響心力衰竭1年內(nèi)再住院或死亡的因素。

結(jié)論：心力衰竭患者1年內(nèi)的累積再住院或死亡率為34.3%。性別、手術(shù)治療狀況、血鈉濃度、血紅蛋白濃度和NTpro-BNP水平仍是影響心力衰竭患者1年內(nèi)生存的主要因素。 關(guān)鍵詞 心力衰竭；再住院率；死亡率；影響因素

Prognosis Status With its Influencing Factors in Heart Failure Patients

During 1 Year of Discharged Period

SUN Lu-lu**, LV Rong, LIANG Tao, JI Shi-ming, KANG Xiao-feng, GUO Jin-yu，ZHANG Jjan.

Department of Cardiology, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC,Beijing (100037), China Co-Corresponding Authors: LIANG Tao and LV Rong, Email: liangtaoy@ and lvrong0202@

Abstract

Objective： To analyze the prognosis status with its influencing factors in heart failure (HF) patients during 1 year of discharged period.

Methods： There were 258 patients with the mean followed-up time of 7 months, the questionnaire survey and telephone visit were performed to collect their clinical information, and Cox regression analysis was applied to explore the related factors for their re-hospitalization or mortality during that period of time.

Results： The re-hospitalization rate in 258 patients caused by CH at 1, 3, 6 and 12 months after discharge were 1.9%, 10.1%, 14.3% and 17.4% respectively; the mortality were 2.3%, 6.6%, 8.9% and 11.6% respectively; the combination of re-hospitalization or mortality were 4.3%, 16.7%, 23.3% and 29.1% respectively. Kaplan-Meier survival curve presented that the accumulative re-hospitalization or mortality caused by CH were 4.3%, 16.7%, 23.5% and 34.3% respectively. Cox regression study showed that gender, the condition of surgery and the levels of blood sodium, hemoglobin and NT-proBNP were the influencing factors for 1 year re-hospitalization or mortality in CH patients.

Conclusion： The 1 year accumulative re-hospitalization and/or mortality in CH patients were 34.3%. Gender, the condition of surgery and the levels of blood sodium, hemoglobin and NT-proBNP were the main influencing factors for CH patient’s survival within 1 year.

Re-hospitalization rate; Mortality; Influence FactorsKey words Heart Failure；

(Chinese Circulation Journal, 2013,28:125.)

作者單位：100037北京市，中國醫(yī)學科學院 北京協(xié)和醫(yī)學院 心血管病研究所 阜外心血管病醫(yī)院 心衰病房作者簡介：孫路路 護師 碩士 研究方向為心血管病重癥護理 Email：sunlulusunsun@ 通訊作者：梁濤 Email: liangtaoy@ 呂蓉為共同通訊作者 Email：lvrong0202@ *現(xiàn)在工作清華大學第一附屬醫(yī)院 重癥醫(yī)學科 **

Now working at the First Affiliated Hospifal of Tsinghua University

中圖分類號：R54 文獻標識碼：A 文章編號：1000-3614（2013）02-0125-04 doi:10.3969/j.issn.1000-3614.2013.02.014

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  本文關(guān)鍵詞：心力衰竭患者出院后1年內(nèi)預(yù)后狀況及影響因素分析，由筆耕文化傳播整理發(fā)布。