心力衰竭管理模式探讨  

Evaluation of Management Mode in Patients With Chronic Heart Failure

作　　者：黄红漫[1] 孙璟[2] 刘新兵[1] 周明成[1] 冯六六[1] 龚冰璐[1] 陈伟[3] 何银华[4] 

机构地区：[1]上海市杨浦区市东医院心内科,200438 [2]上海瑞金医院老年科 [3]上海市杨浦区市东医院急诊科,200438 [4]上海市杨浦区市东医院检验科,200438

出　　处：《中国循环杂志》2012年第3期196-199,共4页Chinese Circulation Journal

基　　金：杨浦区卫生局课题;课题编号200812

摘　　要：目的:评价不同管理模式对慢性收缩性心力衰竭(心衰)患者神经内分泌、心功能、心脏事件、生活质量和医疗费用的影响。方法:120例慢性心功能不全患者,在常规治疗心衰的前提下,随机分为心衰管理组和心衰非管理组各60例,治疗后两年其对神经内分泌、心功能、心脏事件、生活质量和医疗费用的影响。结果:心衰管理组治疗后心功能、生活质量、神经内分泌较心衰非管理组治疗后改善(P<0.05),心衰恶化再入院减少(P<0.05),心脏事件较心衰非管理组明显减少(P<0.05),年心衰治疗费用较后者减少(P<0.05),差异均有统计学意义。结论:通过心衰管理能改善心功能及生活质量,减少心衰医疗费用、心脏事件的发生。Objects ：To evaluate the management mode in patients with chronic systolic heart failure. Methods：A total of 120 patients with chronic heart failure received routine treatment, and meanwhile,the patiewts were randomly divided into two groups as Management group and Non-management group, n=60 in each group. The neurohumoral regulation, cardiac function, cardiac events, life quality and the cost of medical expenses were compared between two groups. Results：With 2 years treatment, the patients in Management group presented significantly improved cardiac function, life quality and neuroumoral regulation than those in Non-management group, P 〈 0.05 respectively. The Management group also showed decreased re-hospitalization,less cardiac events and reduced annual medical cost,P〈0.05 respectively. Conclusion：Proper management may improve the cardiac function and life quality in patients with chronic heart failure, and may reduce their cardiac events and medical cost.

关 键 词：心力衰竭 心衰管理 

分 类 号：R54[医药卫生—心血管疾病]