中西医结合治疗急诊内科重症心力衰竭的临床疗效分析  

Clinical Analysis of Curative Effect of Combined Traditional Chinese and Western Medicine Treatment on Severe Heart Failure in Emergency Internal Medicine

作　　者：熊文清[1] XIONG Wen-qing(Department of Critical Care Medicine,Yuxi municipal Chinese Medicine Hospital,Yuxi,Yunnan Province,653100 China)

机构地区：[1]玉溪市中医医院云南玉溪重症医学科,云南玉溪653100

出　　处：《中外医疗》2018年第5期188-189,192,共3页China & Foreign Medical Treatment

摘　　要：目的研究中西医结合治疗急诊内科重症心力衰竭的临床疗效。方法研究对象方便选自该院从2016年7月—2017年7月收治的100例重症心力衰竭患者,采用随机数字表法分成观察组和对照组两组,每组50例。其中观察组患者进行中西医结合治疗,对照组患者进行单纯西医治疗。将两组患者的临床疗效与不良反应发生情况进行比较。结果研究组治疗总有效率为96%,显效率为80%,有效率为16%,无效率为4%;对照组治疗总有效率为70%,显效率为28%,有效率为42%,无效率为30%;研究组总有效率显著高于对照组,研究组1例心悸,1例水肿;对照组4例心悸,咳痰3例,2例水肿,2例少尿,研究组的不良反应发生率(4%)明显少于对照组(22%),差异有统计学意义(P<0.05)。结论通过中西医结合治疗急诊内科重症心力衰竭疾病有着显著临床治疗效果,增强了患者的临床治疗效果,值得进一步推广和应用。Objective This paper tries to study the curative effect of combined traditional Chinese and western medicine treatment on severe heart failure in emergency department.Methods 100 cases of severe heart failure patients admitted to the Yuxi municipal Chinese Medicine Hospital from July 2016 to July 2017 were convenient delected as the subjects and by using random number table method they were divided into observation group and control group with 50 cases in each group.The patients in the observation group were treated with combined traditional Chinese and western medicine,while the control group was treated with simple western medicine.The clinical efficacy and adverse reactions of the two groups were compared.Results The total effective rate was 96%,the significant efficiency rate 80%,the efficiency rate 16%,and the inefficiency rate was 4%in the observation group.In the control group,the total effective rate was 70%,the significant efficiency rate 28%,the efficiency rate 42%,and the inefficiency 30%.The total effective rate of the observation group was significantly higher than that of the control group.The observation group only had 1 case of palpitation and 1 case of edema,while the control group had 4 cases of palpitation,3 cases of cough phlegm,2 cases of edema and 2 cases of oliguria.It is clear that the incidence of adverse reactions of the observation group(4%)was lower than that of the control group(22%),the difference was statistically significant(P<0.05).Conclusion The combined traditional Chinese and western medicine treatment of severe heart failure in emergency department has a significant clinical curative effect,which enhances the clinical effect of patients and deserves further promotion and application.

关 键 词：中西医结合 急诊内科 重症心力衰竭 临床疗效 

分 类 号：R4[医药卫生—临床医学]