达卡市某三级医院慢性肾脏疾病合并充血性心力衰竭的临床人口学研究

P. Biswas, Mm Amin, Md Ataul Huq, S. Akter, M. Shamima
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摘要

背景:心力衰竭(HF)是一个重大的公共卫生问题,它与高死亡率和发病率相关。目的:本研究的目的是评估慢性肾脏疾病合并充血性心力衰竭(CCF)患者的人口学和临床特征。方法:本横断面研究在孟加拉国达卡医学院医院的内科和心内科进行,在CCF患者方案批准后为期6个月。研究人群是根据年龄大于18岁的性别和CCF确诊病例在研究组中选择的。结果:共纳入100例患者,其中51 ~ 60岁的患者居多(32.0%)。其中男性70.0%,女性30.0%。58.0%的病例生活在农村地区,46.0%的病例家庭收入在2 -4万BDT之间。研究人群中CCF患者的合并症显示,53%患有高血压,48%患有缺血性心脏病,34%患有糖尿病,20.0%患有血脂异常,16%患有贫血,14.0%患有哮喘或慢性阻塞性肺病,其余8%有房颤史。约100.0%的患者出现呼吸短促,92.0%的患者听诊伴有双侧基底震颤;80.0%的患者有矫形,66.0%的患者有JVP升高,64.0%的患者有双侧踝关节水肿。结论:高血压和久坐生活方式的男性易患肾脏疾病。现代与先进医学研究杂志,2022;9(1):21-25
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Clinico-Demographic Study of Chronic Renal Disease Patients Presenting with Congestive Cardiac Failure at a Tertiary Level of Hospital in Dhaka City
Background: Heart failure (HF) is a major public health issue, and it is associated with a high rate of mortality, morbidity, Objective: The purpose of the present study was to assess the demographic and clinical characteristics of the chronic renal disease patient with congestive cardiac failure (CCF). Methodology: This cross-sectional study was carried out in the Department of Medicine and Department of Cardiology in Dhaka Medical College Hospital, Dhaka, Bangladesh for six months after approval of the protocol on patients suffering from CCF. Study population was selected in the study group based on age more than 18 years of both sex and diagnosed case of CCF. Results: A total 100 patients were included and among them majority of the patients were aged between 51 to 60 years (32.0%). Among them 70.0% cases were male and 30.0% cases were female. About 58.0% cases were living in rural area and 46.0% cases of total subjects had a family income of 20,000-40,000 BDT. Co-morbidities of CCF patients of the study population showed that 53% had hypertension, 48% had ischemic heart disease, 34% had DM, 20.0% had dyslipidaemia, 16% had anaemia, 14.0% had asthma or COPD and rest 8% had history of atrial fibrillation. About 100.0% patients had shortness of breath along with 92.0% bilateral basal crepitation on auscultation; 80.0% had orthopnoea and 66.0% had raised JVP with 64.0% bilateral ankle edema. Conclusion: In conclusion males with hypertension and sedentary life style suffer from kidney diseases. Journal of Current and Advance Medical Research, January 2022;9(1):21-25
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