中国当代医药2025，Vol.32Issue(9)：116-119,4.DOI:10.3969/j.issn.1674-4721.2025.09.25
ICU重症心力衰竭患者预后的影响因素
Influencing factors of ICU patients with severe heart failure
摘要
Abstract
Objective To explore the influencing factors of prognosis in ICU patients with severe heart failure.Methods The clinical data of 92 ICU patients with severe heart failure admitted to Ji'an Central People's Hospital from July 2022 to October 2023 were retrospectively analyzed,and they were divided into poor prognosis group(n=19)and good prognosis group(n=73)according to the prognosis.General data of patients were collected,and the related factors affecting prognosis of ICU patients with severe heart failure were analyzed by univariate and multivariate analysis.Results Univariate analysis showed that the incidence of grade Ⅲ cardiac function,left ventricular ejection fraction(LVEF)and hemoglobin(Hb)in the poor prognosis group were lower than those in the good prognosis group.The incidence of lower limb edema,sepsis,N-terminal B-type natriuretic peptide precursor(NT-proBNP)and hypersensitive C-reactive protein(hs-CRP)were higher than those in good prognosis group,and the length of ICU stay was longer than that in good prognosis group,the differences were statistically significant(P＜0.05).There were no significant differences in gender,age and combined hypertension between the two groups(P＞0.05).Multivariate analysis logistic regression model showed that lower limb edema(β=1.365,OR=3.917,95％CI:1.331-11.527),grade Ⅳ cardiac function(β=1.316,OR=3.727,95％CI:1.298-10.702),NT-proBNP(β=1.115,OR=3.097,95％CI:1.148-8.332),hs-CRP(β=1.313,OR=3.795,95％CI:1.372-9.576),combined with sepsis(β=1.870,OR=6.491,95％CI:2.082-20.233),long stay in ICU(β=1.598,OR=4.937,95％CI:1.759-13.892)were independent risk factors for poor prognosis in ICU patients with severe heart failure,LVEF(β=-0.150,OR=0.861,95％CI:0.788-0.941),Hb(β=-0.176,OR=0.839,95％CI:0.759-0.927)were independent protective factors for poor prognosis in ICU patients with severe heart failure(P＜0.05).Conclusion ICU patients with severe heart failure have a certain risk of poor prognosis,which is related to lower limb edema,cardiac function grading LVEF,NT-proBNP,Hb,hs-CRP,sepsis,and ICU stay are all related.关键词
重症心力衰竭/预后/影响因素/护理策略Key words
Severe heart failure/Prognosis/Influencing factors/Nursing strategy分类
医药卫生引用本文复制引用
刘玲娜,胡雅琳..ICU重症心力衰竭患者预后的影响因素[J].中国当代医药,2025,32(9):116-119,4.基金项目
江西省卫生健康委科技计划项目(202212825). （202212825）
