实用心电与临床诊疗2025，Vol.34Issue(2)：157-161,5.DOI:10.13308/j.issn.2097-5716.2025.02.001
碎裂QRS波合并肾功能不全患者远期预后研究
Study on long-term prognosis of renal dysfunction patients with fragmented QRS complex
摘要
Abstract
Objective To investigate the long-term prognosis of renal dysfunction patients with fragmented QRS complex(fQRS).Methods A total of 181 inpatients specifically diagnosed with renal dysfunction were selected as research objects.We collected their general information,laboratory test results,routine ECGs,readmissions,and mortality.They were divided into positive fQRS group(n=96)and negative fQRS group(n=85)based on the presence or absence of fQRS in the ECG.The cohort study method was used to compare the occurrence of readmission and death events between the two groups.Results The readmission time of patients in the positive fQRS group was earlier than that in the negative fQRS group,and the difference was statistically significant(HR=2.486,P<0.01).The index of fQRS was an independent predictor of readmission in patients with renal dysfunction.There was no statistically significant difference in the time to death between the two groups(P=0.312).The estimated glomerular filtration rate and NT-proBNP were associated with the time to death(P=0.025 and 0.020,respectively).Conclusion Renal dysfunction patients with fQRS are more likely to be readmitted.Patients with poorer renal function and elevated NT-proBNP levels demonstrate both higher mortality rates and accelerated time to death.Early screening of fQRS and related risk factors help to assess the prognosis of these patients.关键词
碎裂QRS波/肾功能不全/再入院率/预后Key words
fragmented QRS complex/renal dysfunction/readmission rate/prognosis分类
临床医学引用本文复制引用
任志义,陈震..碎裂QRS波合并肾功能不全患者远期预后研究[J].实用心电与临床诊疗,2025,34(2):157-161,5.基金项目
泰州市科技支撑计划社会发展(指导性)项目(2021-16) （指导性）
