肘静脉压测定在充血性心力衰竭治疗中的应用效果  

Application Effect of Elbow Venous Pressure Measurement in the Treatment of Congestive Heart Failure

作　　者：胡文标 许冠思 叶春红 苏虹 黄森 刘春勤 HU Wen-biao XU Guan-si YE Chun-hong SU Hong HUANG Sen LIU Chun-qin(Department of Cardiovascular Medicine, the Red Cross Hospital of Nanning , Nanning 530012, China)

机构地区：[1]广西壮族自治区南宁市红十字会医院心血管内科,530012

出　　处：《实用心脑肺血管病杂志》2016年第6期112-114,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(z2015008)

摘　　要：目的分析肘静脉压测定在充血性心力衰竭治疗中的应用效果。方法选取2013年1月—2015年8月南宁市红十字会医院收治的充血性心力衰竭患者78例,随机分为对照组与试验组,各39例。两组患者均予以常规治疗,对照组患者根据心功能、临床症状及体征指导用药,试验组患者根据肘静脉压测定值评估心功能及体液潴留情况以指导用药;两组患者疗程均为10 d。比较两组患者症状改善时间、血压改善时间、住院时间、住院费用,治疗前后心功能指标〔左心室舒张末期容积(LVEDV)、左心室收缩末期容积(LVESV)、左心室射血分数(LVEF)〕及临床疗效。结果试验组患者症状改善时间、血压改善时间、住院时间短于对照组,住院费用少于对照组(P<0.05)。治疗前两组患者LVEDV、LVESV、LVEF比较,差异无统计学意义(P>0.05);治疗后试验组患者LVEDV、LVESV低于对照组,LVEF高于对照组(P<0.05)。试验组患者临床疗效优于对照组(P<0.05)。结论肘静脉压测定可指导充血性心力衰竭患者的临床治疗,有利于改善患者心功能及缩短患者住院时间,减少住院费用。Objective To analyze the application effect of elbow venous pressure measurement in the treatment of congestive heart failure. Methods A total of 78 patients with congestive heart failure were selected in the Red Cross Hospital of Nanning from January 2013 to August 2015,and they were randomly divided into control group and experiment group,each of 39 cases. Patients of the two groups received conventional treatment after admission,and patients of control group received relevant drugs according to the cardiac function,clinical symptoms and signs,while patients of experiment group received relevant drugs according to the elbow venous pressure measurement results（ including cardiac function and fluid retention situation）;both groups continuously treated for 10 days. Improvement time of clinical symptoms and blood pressure,hospital stays,hospital fees, index of cardiac function（including LVEDV,LVESV and LVEF）before and after treatment,and clinical effect were compared between the two groups. Results The improvement time of clinical symptoms and blood pressure,and hospital stays of experiment group were statistically significantly shorter than those of control group,and hospital fees of experiment group was statistically significantly less than that of control group（P ﹤ 0. 05）. No statistically significant differences of LVEDV,LVESV or LVEF was found between the two groups before treatment（P ﹥ 0. 05）;after treatment,LVEDV and LVESV of treatment group were statistically significantly lower than those of control group,while LVEF of treatment group was statistically significantly higher than that of control group（P ﹤ 0. 05）. The clinical effect of experiment group was statistically significantly better than that of control group（P ﹤ 0. 05）. Conclusion Elbow venous pressure measurement can guide the clinical treatment of patients with congestive heart failure,is helpful to improve the cardiac function and shorten the hospital stays,cut down the hospital fees.

关 键 词：心力衰竭 静脉压 治疗结果 

分 类 号：R541.62[医药卫生—心血管疾病]