|
探讨贫血对老年慢性心力衰竭病情及预后的影响 |
|
增加,预后不良。Horwich等对1000例重度心力衰竭患者进行贫血与死亡率的关系研究发现,即使轻度贫血(Hb<123g/L)也与存活率下降、症状和功能状态变坏相关[5]。国内吴海云等人采用促红素联合铁剂治疗老年慢性心力衰竭患者获得较好临床效果[9],从抗贫血干预的角度也说明贫血对慢性心力衰竭患者病情的影响。 本文结果提示贫血的发生率及严重程度对老年慢性心力衰竭的病情及预后具有明显影响。因此,在治疗心力衰竭的同时,及时治疗贫血,对干预老年慢性心力衰竭患者的病情、改善预后、降低病死率具有重要意义。 【参考文献】 1 Silverberg DS,Wexler D,Iaina A,et al.The importance of anemia and its correction in the management of severe congestive heart failure\[J\].Eur J Heart Fail,2002,4(6)681686
2 叶任高,陆再英主编.内科学\[M\].第6版.北京:人民卫生出版社,2005.558
3 胡大一,吴彦.心力衰竭的现代治疗\[M\].第1版.天津:科学技术出版社,2003.1014
4 Ridker PM,Rifai N,Pfeffer M,et al.Elevation of tumor necrosis factoralpha and increased risk of recurrent cornoaryevents after myocardial infarction\[J\].Circulation,2000,101:21492153
5 Horwich TB,Fonarow GC,Hamilton MA,et al.Anemia is associated with worse symptoms greater impairment in functional capacity and a significant increase in mortality in patients with advanced heart failure\[J\].J Am Coll Cardiol,2002,39:17801786
6 Vander MP,Voors AA,Lipsic E,et al.Prognostic value of plasma erythropoietin on mortality in patients with chronic heart failurre\[J\].J Am Coll Cardion,2004,44(1):6367
7 Silverberg DS,Wexler D,Sheps D,et al.The effect of Correction of mild anemia in sever resistant congestive heart failure using subcutaneous erythropoietin and intracenous iron arandomized controlled study\[J\].J Am Coll Cardiol,2001,37:17751780
8 杨国胜,杨跃进. 促红细胞生成素在心血管疾病中的应用进展\[J\].心血管病学进展,2006,27(1):3740.
9 吴海云,赵玉生.促红细胞生成素联合铁剂治疗老年慢性心力衰竭合并贫血48例临床评价\[J\].中华老年医学杂志,2004,23(2):122123
上一页 [1] [2] [3] 上一个医学论文: 探析黄韧带粗线的形态学特点及临床意义 下一个医学论文: 探讨经尿道膀胱颈切开治疗女性膀胱颈梗阻的疗效
|
|
|
|
|
|
|