探究内科老年重症慢性心力衰竭的临床治疗方法.docVIP

精品论文 参考文献 探究内科老年重症慢性心力衰竭的临床治疗方法 李吉 　　（攀钢西昌医院内科 四川 西昌 615000） 　　【摘要】 目的：研究在内科对于老年重症慢性心力衰竭患者治疗，不同临床治疗方法的疗效分析。方法：研究抽取2013年1月到2015年1月入住我院并接受治疗的老年重症慢性心力衰竭患者84例，随机均分为对照组和研究组。42例对照组患者进行常规抗心衰治疗，研究组42例患者在进行对照组常规抗心衰治疗的基础上给予药物美托洛尔以及厄贝沙坦进行治疗，观察两组患者治疗前后的B型利钠肽（BNP）、心功能（以左室射血分数和最大代谢当量表示）以及两种治疗方法的总治疗有效率。结果：研究组治疗总有效率为92.8%，高于对照组73.8%的治疗总有效率（Plt;0.05）；两组患者在经治疗后在B型利钠肽（BNP）、左室射血分数（LVEF）和最大代谢当量指标方面均有所改善（Plt;0.05），但研究组患者的改善情况明显好于对照组，两组比较差异具有统计学意义（Plt;0.05）。结论：内科对于老年重症慢性心力衰竭患者在常规抗心衰治疗的基础上，使用药物美托洛尔以及厄贝沙坦进行治疗，临床效果明显。 　　【关键词】 内科；老年患者；心力衰竭；治疗方法 　　【中图分类号】R541.6 【文献标识码】A 【文章编号】2095-1752（2016）08-0017-02 　　To explore the clinical treatment of elderly patients with severe chronic heart failure in Department of Internal Medicine 　　Li Ji. Xichang Hospital of Panzhihua Iron and Steel Group Co. Ltd., Sichuan Province, Xichang 615000, China 　　【Abstract】Objective To study the in medicine for elderly patients with severe chronic heart failure treatment, curative effect analysis of different therapeutic methods. Methods Extraction of January 2013 to 2015 January admitted to our hospital and received 84 cases of therapy in elderly patients with severe chronic heart failure were randomly divided into control group and study group of 42 cases patients of control group were treated with routine anti heart failure treatment, the group of 42 patients in control group received routine anti heart failure treatment based on the given metoprolol and irbesartan treatment were observed before and after treatment in two groups of patients with B type natriuretic peptide (BNP) and cardiac function (left ventricular ejection fraction and maximum metabolic equivalent) and two kinds of treatment methods of total efficiency of the treatment. Results The total efficiency of the treatment group was 92.8%, higher than the control treatment group 73.8% of total effective rate (P lt; 0.05); two groups of patients in the treated in plasma levels of B-type natriuretic peptide (BNP) and lef