老年重症心力衰竭在急诊科对症治疗及预后效果分析.docVIP

精品论文 参考文献 老年重症心力衰竭在急诊科对症治疗及预后效果分析 广州市红十字会医院 暨南大学医学院附属广州红十字会医院急诊科 广东广州 510220 　　【摘 要】目的：分析老年重症心力衰竭在急诊科对症治疗及预后效果。方法：选取86例老年重症心力衰竭患者作为研究对象，随机进行分组；对照组43例，采取抗心力衰竭对症治疗；观察组43例，在对照组治疗的基础上，采取厄贝沙坦、比索洛尔治疗；对比两组患者治疗前后的心功能及预后改善情况。结果：治疗后，观察组患者的每分输出量、左心室射血分数较对照组升高，钠尿肽较对照组降低，差异具有统计学意义(P＜0.05)；随访半年，观察组患者的住院次数、住院天数均少于对照组，死亡率小于对照组，差异具有统计学意义(P＜0.05)。结论：在老年重症心力衰竭在急诊科对症治疗过程中，早期采取血管紧张素II受体拮抗剂、beta;受体阻滞剂治疗，可进一步提高心功能，改善预后，值得临床推广使用。 　　【关键词】心力衰竭；厄贝沙坦；比索洛尔 　　Analysis of symptomatic treatment and prognosis of senile severe heart failure in emergency department 　　Lu Wing Hang 　　Guangzhou Red Cross Hospital Department of Emergency，Guangzhou Red Cross Hospital Affiliated to Jinan University Medical College Guangzhou，Guangdong 510220 　　[Abstract] Objective：To analyze the symptomatic treatment and prognosis of senile severe heart failure in emergency department. Methods：Select 86 cases of elderly patients with severe heart failure as the research object，the random grouping；The control group，43 cases to the symptomatic heart failure treatment；Observer group 43 cases，treatment in the control group，on the basis of taking urban bei sha Tanzania，（此处翻译应该错误）bisoprolol therapy；Compare the cardiac function and prognosis of two groups of patients before and after treatment to improve the situation. Results：After treatment，the left ventricular ejection fraction and the left ventricular ejection fraction (LVEF) of the observation group were higher than those of the control group，and the difference was statistically significant (Plt;0.05). After six months of follow-up，(Plt;0.05). The mortality rate of the patients was significantly lower than that of the control group (Plt;0.05). Conclusion：Angiotensin II receptor antagonist and beta;-blocker therapy can improve cardiac function and prognosis in elderly patients with severe heart failure during the course of symptomatic treatment in the emergency department. It is worthy to be popularized in clinical practice. 　　Key words：heart failure；irbesartan；bisopro