慢性心力衰竭患者躯体化症状、焦虑、抑郁对临床结局的影响
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卢启帆, 刘启明, 周红梅, 柴烨子, 姜萌, 卜军
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Effect of somatic symptoms, anxiety and depression on clinical prognosis in patients with chronic heart failure
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LU Qifan, LIU Qiming, ZHOU Hongmei, CHAI Yezi, JIANG Meng, PU Jun
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表4 心衰患者1年内全因住院和因心衰再住院的单因素分析
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Tab 4 Univariate analysis of all-cause hospitalization and heart failure-induced hospitalization within 1 year in the CHF patients
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| Item | All-cause hospitalization | | Heart failure induced hospitalization |
|---|
| None (n=174) | Yes (n=21) | P value | | None (n=187) | Yes (n=8) | P value |
|---|
| Gender/n(%) | | | 0.915 | | | | 0.139 | | Female | 56 (32.18) | 7 (33.33) | | | 58 (31.02) | 5 (62.50) | | | Male | 118 (67.82) | 14 (66.67) | | | 129 (68.98) | 3 (37.50) | | | Age/year | 57.0±14.4 | 65.8±14.6 | 0.000 | | 57.5±14.4 | 68.1±16.5 | 0.043 | | SSS-CN/n(%) | | | 0.589 | | | | 0.874 | | ≤29 points | 60 (34.48) | 6 (28.57) | | | 64 (34.22) | 2 (25.00) | | | >29 points | 114 (65.52) | 15 (71.43) | | | 123 (65.78) | 6 (75.00) | | | SSS-CN/n(%) | | | 0.428 | | | | 0.738 | | ≤39 points | 130 (74.71) | 14 (66.67) | | | 139 (74.33) | 5 (62.50) | | | >39 points | 44 (25.29) | 7 (33.33) | | | 48 (25.67) | 3 (37.50) | | | PHQ-9/n(%) | | | 0.240 | | | | 0.247 | | >4 points | 131 (75.29) | 13 (61.90) | | | 140 (74.87) | 4 (50.00) | | | ≤4 points | 43 (24.71) | 8 (38.10) | | | 47 (25.13) | 4 (50.00) | | | GAD-7/n(%) | | | 0.965 | | | | 0.957 | | >4 points | 139 (79.89) | 18 (85.71) | | | 150 (80.21) | 7 (87.50) | | | ≤4 points | 35 (20.11) | 3 (14.29) | | | 37 (19.79) | 1 (12.50) | | | NYHA classification/n(%) | | | 0.037 | | | | 0.039 | | Ⅰ－Ⅱ | 133 (76.4) | 11 (52.63) | | | 141 (75.41) | 3 (37.50) | | | Ⅲ－Ⅳ | 41 (23.5) | 10 (47.37) | | | 46 (24.59) | 5 (62.50) | | | Heart rate/bpm | 76.1±12.0 | 76.4±12.4 | 0.562 | | 76.4±12.1 | 72.4±10.2 | 0.365 | | SBP/mmHg | 127.06±19.11 | 127.39±19.81 | 0.606 | | 127.23±19.47 | 124.25±12.19 | 0.670 | | DBP/mmHg | 79.38±13.23 | 80.18±13.17 | 0.073 | | 79.89±13.13 | 71.00±12.80 | 0.065 | | Height/cm | 168.62±8.09 | 168.19±8.42 | 0.843 | | 168.63±7.97 | 167.57±10.61 | 0.740 | | Weight/kg | 72.38±16.61 | 66.31±11.35 | 0.163 | | 72.17±16.21 | 61.71±9.88 | 0.096 | | BMI/(kg·m-2) | 25.36±4.99 | 23.31±2.63 | 0.112 | | 25.28±4.83 | 21.86±1.80 | 0.066 | | TNI/(ng·mL-1) | 0.03 (0.01, 0.16) | 0.01 (0.01, 0.03) | 0.174 | | 0.04 (0, 0.07) | 0.04 (0, 0.07) | 0.750 | | BNP/(pg·mL-1) | 214.0 (100.0, 573.5) | 225.5 (49.0, 510.7) | 0.736 | | 205.0 (49.0, 491.0) | 508.0 (241.0, 980.0) | 0.467 | | LVEF/n(%) | | | 0.531 | | | | 0.195 | | ≤40% | 71 (40.80) | 13 (61.90) | | | 79 (42.25) | 5 (62.50) | | | 40%<LVEF<50% | 47 (27.01) | 5 (23.81) | | | 50 (26.73) | 2 (25.00) | | | ≥50% | 56 (32.19) | 3 (14.29) | | | 58 (31.02) | 1 (12.50) | |
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