急诊内科对症治疗老年重症心力衰竭的效果和预后观察  

Effect and prognosis of symptomatic treatment of senile patients with severe heart failure in emergency medicine

作　　者：宋心愿 SONG Xin-yuan(Department of Emergency,Jianli People’s Hospital,Jianli 433300,China)

机构地区：[1]湖北省监利市人民医院急诊科,433300

出　　处：《中国实用医药》2021年第35期40-42,共3页China Practical Medicine

摘　　要：目的观察急诊内科对症治疗老年重症心力衰竭的效果。方法120例老年重症心力衰竭患者,随机分为对照组和研究组,每组60例。对照组采用常规治疗,研究组在常规治疗基础上使用美托洛尔联合厄贝沙坦氢氯噻嗪急诊内科对症治疗。比较两组患者治疗前后心功能指标、临床疗效、6分钟步行距离、脉搏输出量。结果治疗后,研究组患者的左室射血分数(LVEF)(57.36±3.11)%、射血分数(EF)(64.18±5.81)%均高于对照组的(49.01±2.84)、(60.52±2.74)%,NYHA分级(2.14±0.62)级低于对照组的(2.86±0.83)级,差异均具有统计学意义(P<0.05)。研究组治疗总有效率98.33%高于对照组的81.67%,差异具有统计学意义(P<0.05)。治疗后,研究组患者6分钟步行距离(487.53±24.36)m和脉搏输出量(73.12±5.77)ml均优于对照组的(187.53±17.76)m、(61.71±2.91)ml,差异均具有统计学意义(P<0.05)。结论采用急诊内科对症治疗老年重症心力衰竭患者,可以对患者的心功能起到改善作用,加快疾病康复,提高治疗效果,值得推广。Objective To observe the effect of symptomatic treatment of senile patients with severe heart failure in emergency medicine.Methods A total of 120 cases of senile patients with severe heart failure were randomly divided into control group and research group,with 60 cases in each group.The control group received conventional treatment,and the research group received metoprolol combined with irbesartan hydrochlorothiazide for symptomatic treatment in emergency medicine on the basis of conventional treatment.The cardiac function indexes before and after treatment,clinical efficacy,6-min walking distance,and pulse output were compared between the two groups.Results After treatment,the left ventricular ejection fraction(LVEF)(57.36±3.11)%and ejection fraction(EF)(64.18±5.81)%in the research group were higher than(49.01±2.84)and(60.52±2.74)%in the control group,and the NYHA grading(2.14±0.62)grades was lower than(2.86±0.83)grades in the control group.All the differences were statistically significant(P<0.05).The total effective rate of treatment 98.33%in the research group was higher than 81.67%in the control group,and the difference was statistically significant(P<0.05).After treatment,the 6-min walking distance(487.53±24.36)m and pulse output(73.12±5.77)ml of the research group were better than(187.53±17.76)m and(61.71±2.91)ml of the control group,and the differences were statistically significant(P<0.05).Conclusion Symptomatic treatment in emergency medicine for senile patients with severe heart failure can improve the cardiac function,accelerate the recovery and improve the therapeutic effect of patients,and is worth promoting.

关 键 词：老年重症心力衰竭 急诊内科对症治疗 美托洛尔 厄贝沙坦氢氯噻嗪 

分 类 号：R541.6[医药卫生—心血管疾病]