重症心力衰竭急诊内科治疗临床分析  

Clinical analysis of emergency internal medicine in treatment of refractory heart failure

作　　者：丛云峰[1] 关卫[1] 金贞玉[1] 梁明[1] 张东利[1] 

机构地区：[1]黑龙江省医院南岗院区重症医学科,黑龙江哈尔滨150001

出　　处：《中国校医》2014年第7期526-528,共3页Chinese Journal of School Doctor

基　　金：黑龙江省卫生厅科研项目(2013385)

摘　　要：目的研究分析重症心力衰竭(refractory heart failure,RHF)急诊内科治疗的临床情况。方法2012年2月到2013年2月本院急诊内科共收治86例RHF患者。随机分成观察组(43例)和对照组(43例)。对照组实施常规RHF对症疗法,观察组在此基础上,给予联合美托洛尔以及厄贝沙坦氢氯噻嗪(irbesartan and hydrochlorothiazide,IH)治疗。对比2组疗效以及治疗前后NYHA、LVEF及BNP等情况。结果观察组治疗后的NYHA及BNP水平均显著低于治疗前,也低于对照组治疗后的水平;LVEF水平显著高于治疗前,以及对照组治疗后的水平,差异有统计学意义(P<0.05)。观察组的总有效率为95.35%(41/43),显著高于对照组的81.40%(35/43),差异有统计学意义(P<0.05)。结论常规疗法联合美托洛尔及IH治疗RHF疗效显著。Objective To study the clinical status of emergency internal medicine in the treatment of refractory heart failure（RHF）. Methods From February 2012 to February 2013,86 cases of emergency medicine patients were diagnosed as RHF and they were randomly divided into a trial group（43cases）and a control group（43cases）.The control group received the conventional RHF symptomatic therapy,and the trial group received metoprolol,and irbesartan and hydrochlorothiazide（IH）in addition to the conventional therapy. Results In the trial group,NYHA and BNP were significantly lower after the treatment;in the control group,the level of LVEF was significantly higher after the treatment（all P〈0.05）.The total effective rate of the trial group was 95.35%（41/43）,which was significantly higher than that of the control group（81.40%,35/43,P〈0.05）. Conclusions The conventional therapy combined with metoprolol and IH in the treatment of RHF has a significant effect.

关 键 词：心力衰竭 药物疗法 急诊处理 治疗结果 

分 类 号：R541.6[医药卫生—心血管疾病]