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目的:探讨慢性阻塞性肺疾病合并心力衰竭患者的预后影响因素。方法:选取我院自2007年12月-2012年12月收住入院的慢性阻塞性肺疾病患者352例,其中合并心力衰竭患者124例,随访1年两组的结局事件发生率及相关预后。结果:年龄、糖尿病、脑卒中病史、肿瘤、合并CHF均为COPD患者死亡的危险因素(P<0.05)。与未合并CHF组比较,合并CHF组患者的死亡、因COPD再次入院、脑梗死或心肌梗死的危险性增高(P<0.05)。结论:CHF是COPD的常见合并症,是COPD患者死亡或相关心血管疾病的危险因素,临床需密切关注。
Objective: To investigate the prognostic factors in patients with chronic obstructive pulmonary disease and heart failure. Methods: A total of 352 patients with chronic obstructive pulmonary disease (admitted to our hospital from December 2007 to December 2012) were enrolled. Among them, 124 patients with heart failure were followed up for 1 year. The incidence and outcome of the two groups were compared. Results: Age, diabetes mellitus, history of stroke, tumor and combined CHF were the risk factors of death in patients with COPD (P <0.05). Compared with the CHF group, the death of patients with CHF group increased risk of cerebral infarction or myocardial infarction because of COPD re-admission (P <0.05). Conclusions: CHF is a common complication of COPD and a risk factor for death or related cardiovascular diseases in COPD patients. Clinically, it requires close attention.