急诊内科老年重症心力衰竭治疗方案.docVIP

精品论文 参考文献 急诊内科老年重症心力衰竭治疗方案 湖南省耒阳市人民医院 湖南衡阳 421800 摘要：目的：探究急诊内科老年重症心力衰竭的治疗方案。方法：选取2013年5月-2014年5月期间我院收治的老年重症心力衰竭患者88例作为本次的研究对象，并随机的将88例患者进行分组，分成研究组与参照组，每组各44例。对参照的患者采用常规治疗方式，给予研究组的患者常规治疗的基础上进行美托洛尔和厄贝沙坦氢氯噻嗪联合治疗的方式，对两组患者的治疗效果进行观察并比较，同时比较两组治疗前后的LVEF和BNP。结果：在经过治疗以后，参照组的患者经过治疗后治疗总体有效率为81.82%，研究组的总体有效率为95.45%，研究组的总体有效率明显的高于参照组。两组患者的总体有效率和治疗前后的LVEF和BNP的比较差异具有统计学意义（Plt;0.05）。结论：在常规治疗方法的基础上应用美托洛尔和厄贝沙坦氢氯噻嗪治疗老年重症心力衰竭具有良好的治疗效果，具有在临床治疗中广泛地应用的价值。 关键词：老年患者；重症心力衰竭；治疗方法 【 abstract 】 objective：to explore emergency medical treatment of elderly severe heart failure.Selection methods：in May 2013 - May 2014 old patients with severe heart failure in our hospital during the period of 88 cases as the research object，and random grouping，88 patients divided into research group and control group，each group of 44 cases.The conventional treatment in patients with reference to the way，give the team conducted on the basis of routine therapy in patients with metoprolol and he sand jotham hydrochlorothiazide combination therapy，to observe the curative effect of two groups of patients and comparison，comparing the two groups before and after treatment LVEF and BNP.Results：after treatment，the patients of control group after treatment the total effective rate was 81.82% after treatment，the teams overall effective rate was 95.45%，the teams overall efficiency significantly higher than that of control group.Two groups of the overall efficient and before and after treatment in patients with LVEF and BNP comparative differences statistically significant（P lt; 0.05）.Conclusion：on the basis of conventional treatment and application of metoprolol and urban bei sha Tanzania hydrochlorothiazide treatment of senile severe heart failure has good treatment effect，has widely application value in the clinical treatment. 【 key words 】 elderly patients；Severe heart failure.treatment 我国目前已经进入老龄化社会，老年人常出现的疾病有高血压、糖尿病以及心血管疾病等，并且发病人数呈现上升的趋势。其中，老年重症心力衰竭患者人数也具有不断上升的趋势，其已经成为老年人主要的危害性疾病之一[1]。重症心力衰竭患者具有心衰以及心源性水肿合并低钠