老年重症心力衰竭急诊内科治疗的临床效果研究.docVIP

精品论文 参考文献 老年重症心力衰竭急诊内科治疗的临床效果研究 莱州市人民医院 261400 摘要：目的 研究探讨急诊内科治疗老年重症心力衰竭的临床效果。方法 选择2013年2月~2014年6月期间，在我院就医的132例被我院急诊内科医师确诊为老年重症心力衰竭的老年患者作为研究对象，随机分组，分为实验组和对照组，每组老年重症心力衰竭患者66例。对照组给予患者常规心力衰竭治疗，实验组在常规心力衰竭治疗的基础上运用厄贝沙坦氢氯噻嗪结合美托洛尔对重症心力衰竭患者进行治疗。比较对照组与实验组的治疗效果。结果 对照组重症心力衰竭患者经治疗后显效的病例为21例，有效病例为26例，总有效率为71.21%；实验组重症心力衰竭患者经治疗后显效的病例为47例，有效病例为17例，总有效率为96.97%，实验组有效率明显高于对照组。在患者接受治疗后2个月对其进行随访，患者的BNP、LVEE、NYHA情况相比于接受治疗之前有明显的改善，并且，两组的对比差异显著，具有统计学意义，Plt;0.05。结论 在急诊内科老年重症心力衰竭的治疗中，运用厄贝沙坦氢氯噻嗪与美托洛尔相结合对其进行治疗，有非常好的治疗效果，值得在临床上推广运用。 关键词：老年重症；心力衰竭；急诊内科；临床效果 [abstract]objective to study the emergency medical treatment the clinical effect of senile severe heart failure.Method choice in February 2013 ~ June 2014，132 cases in our hospital to have treatment by our hospital emergency physicians diagnosed senile severe heart failure in elderly patients as the research object，a randomized，divided into the experimental group and the control group，each group of 66 cases of senile severe heart failure patients.Control group given conventional treatment of heart failure patients，the experimental group on the basis of conventional treatment of heart failure with he sha Tanzania hydrochlorothiazide combined with metoprolol treatment in patients with severe heart failure.To compare the therapeutic effect of the control group and experimental group.Results the control group in patients with severe heart failure cases were markedly improved after treatment for 21 cases，effective cases of 26 cases，the total effective rate was 71.21%；Experimental heart failure patients with severe cases of 47 cases were markedly improved after treatment，the effective cases of 17 cases，the total effective rate was 96.97%，the experimental group efficiency is significantly higher than the control group.In patients after treatment for 2 months follow-up，in patients with BNP，LVEE，NYHA than before treatment significantly improved，and the comparison of two groups of significant difference，statistically significant，P lt; 0.05）.Conclusion