集束化治疗急诊急性心力衰竭的临床疗效  

Clinical effect of clustering treatment on emergency acute heart failure

作　　者：张耀辉 姚晓丽[1] ZHANG Yaohui;YAO Xiaoli(Emergency Department,Huzhou Central Hospital in Zhejiang Province,Huzhou 313000,China)

机构地区：[1]浙江省湖州市中心医院急诊科,浙江湖州313000

出　　处：《中国现代医生》2020年第15期112-115,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2018ZH041)。

摘　　要：目的探讨集束化治疗急诊急性心力衰竭的临床疗效。方法选择2018年1~12月在医院急诊诊治的急性心力衰竭患者100例患者的临床资料进行回顾性分析。其中50例患者采用传统急救治疗为对照组,50例患者采用集束化治疗为观察组。比较治疗前及治疗72 h后两组患者心率、收缩压、血氧饱和度、呼吸、平均动脉压、NYHA心功能分级、24 h尿量。比较治疗前及治疗72 h后患者LVEF及LVEDD。统计患者气短缓解时间,住院时间及气管插管率。结果(1)治疗后,两组心率、收缩压、平均动脉压、呼吸频率均较治疗前显著下降,差异有统计学意义(P<0.05);治疗后,观察组心率、收缩压、平均动脉压、呼吸频率显著低于对照组,差异有统计学意义(P<0.05)。治疗后,两组血氧饱和度、24 h尿量均显著高于治疗前,差异有统计学意义(P<0.05);治疗后,观察组血氧饱和度、24 h尿量均显著高于对照组,差异有统计学意义(P<0.05)。(2)治疗后两组LVEF均较治疗前显著提高,差异有统计学意义(P<0.05);治疗后,观察组LVEF水平显著高于对照组,差异有统计学意义(P<0.05)。(3)观察组气短缓解时间及住院时间显著低于对照组,差异有统计学意义(P<0.05);气管插管率显著低于对照组,差异有统计学意义(P<0.05)。结论集束化治疗急诊急性心力衰竭可快速缓解症状,改善心率、血压等相关指标,降低气管插管率。Objective To investigate the clinical effect of clustering treatment on acute heart failure in emergency department.Methods The clinical data of 100 patients with acute heart failure who were diagnosed and treated in the emergency department in the hospital from January to December 2018 were retrospectively analyzed.50 patients were given traditional first aid as the control group.50 patients were given clustering treatment as the observation group.Heart rate,systolic blood pressure,blood oxygen saturation,respiration,mean arterial pressure,NYHA cardiac function grade,and 24 h urine volume before treatment and 72 h after treatment were compared between the two groups of patients.The LVEF and LVEDD before treatment and 72 h after treatment were compared.The short breath remission time,length of hospital stay and tracheal intubation rate were statistically analyzed.Results(1)After treatment,the heart rate,systolic blood pressure,mean arterial pressure,and respiratory rate in both groups were significantly lower than those before treatment,and the differences were statistically significant(P<0.05);after treatment,the heart rate,systolic blood pressure,mean arterial pressure,and respiratory rate in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,blood oxygen saturation and 24 h urine volume in both groups were significantly higher than those before treatment,and the differences were statistically significant(P<0.05);After treatment,blood oxygen saturation and 24 h urine volume in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).(2)After treatment,LVEF in both groups was significantly higher than that before treatment,and the difference was statistically significant(P<0.05);after treatment,the LVEF level in the observation group was significantly higher than that in the control group,and the difference was statistically signi

关 键 词：集束化治疗 急诊 急性心力衰竭 心率 收缩压 平均动脉压 血氧饱和度 

分 类 号：R541.6[医药卫生—心血管疾病]