急诊内科治疗老年重症心力衰竭的临床疗效观察  

Emergency Medical Treatment the Clinical Effect of the Treatment of Senile Severe Heart Failure

作　　者：吕超强[1] 钱国枚 谢玉芳[1] 李静如[1] 

机构地区：[1]佛山市第一人民医院,广东佛山528000

出　　处：《广东微量元素科学》2015年第12期50-52,共3页Trace Elements Science

摘　　要：目的探析老年重症心力衰竭在急诊内科治疗的临床效果。方法选取佛山市第一人民医院2014年1月—2015年6月收治的98例老年重症心力衰竭患者,将其随机分为治疗组和对照组,各为49例,对照组给予利尿剂、强心剂等常规治疗,治疗组在对照组的基础上给予厄贝尔沙坦氢氯噻嗪与美托洛尔联合治疗,对比分析两组患者的治疗疗效及临床指标改善情况。结果治疗组33例显效,15例有效,1例无效,总有效率为97.96%,对照组20例显效,16例有效,13例无效,总有效率为73.47%,两组比较差异显著,P<0.05;治疗前两组患者的临床指标差异不显著,P>0.05,治疗后,治疗组在LVFE(左室射血分数)、NYHA(心功能分级)及BNP(B型利钠肽)上较对照组比较差异显著,P>0.05。结论老年重症心力衰竭在急诊内科治疗中加以厄贝尔沙坦氢氯噻嗪与美托洛尔,临床疗效更加显著,患者的临床指标改善更明显,值得应用。Objective To analysis the elderly the clinical effect of severe heart failure in the emergency medical treatment. Methods Select our hospital in January 2014- June 2015 treated 98 cases of elderly patients with severe heart failure,will be randomly divided into treatment group and control group,respectively in 49 cases,control group given conventional treatment such as diuretics,arm,the treatment group in the control group on the basis of sand for bell temple hydrochlorothiazide and combination treatment with metoprolol,comparative analysis the treatment efficacy of two groups of patients and clinical indicators to improve the situation. Rheumati arthritis. Results The treatment group of 33 patients were cured,15 cases effective,1 case ineffective,the total effective rate was 97. 96% in the control group,20 patients were cured,16 cases effective,13 cases ineffective,the total effective rate was 73. 47%,the difference was significant,P < 0. 05; two groups before treatment in patients with clinical indexes were not significant,P > 0. 05,after treatment,the treatment group LVFE( left ventricular ejection fraction),NYHA( functional class) and BNP( B- type natriuretic peptide) on compared with the control group,the difference was significant,P > 0. 05. Conclusions Senile severe heart failure in emergency medical treatment to eritrea temple bell sand hydrochlorothiazide and metoprolol,clinical curative effect is more significant,patients' clinical indicators improved more obviously,is worth application.

关 键 词：老年重症心力衰竭 急诊内科 临床疗效 

分 类 号：R541.6[医药卫生—心血管疾病]