老年人肺心病合并冠心病采用规范的方案治疗效果观察.docVIP

老年人肺心病合并冠心病采用规范的方案治疗效果观察 　　doi：10.3969/j.issn.1007-614x.2014.15.15 　　摘 要 目的：观察老年肺心病合并冠心病患者应用规范方案治疗的临床效果，探讨规范方案的临床应用价值。方法：收治肺心病合并冠心病老年患者120例，按随机数字表法分组，对照组给予氧疗、抗感染、祛痰等常规治疗措施，试验组患者应用规范性方案治疗，比较两组老年患者临床疗效。结果：与对照组相比，试验组冠心病合并肺心病老年患者的治疗效果更佳，试验组PaO2、PaCO2分别为（69.47±8.47）mmHg、（47.52±10.13）mmHg，临床治疗有效率93.3%，优于对照组的（60.54±9.41）mmHg、（57.54±9.64）mmHg，临床治疗有效率78.3%。经统计学处理，两组差异存在统计学意义（P0.05）。结论：采用规范方案治疗老年肺心病合并冠心病患者，临床效果显著，值得在各级医院应用、推广。 　　关键词 老年 肺心病 冠心病 规范方案 治疗效果 　　To observe the effect of standard solution in the treatment of elderly patients with pulmonary heart disease combined with coronary heart disease 　　He Deping1，Liu Yan2 　　The internal medicine of health center in Miaotou Town，Hanchuang City，Hebei Province，4316211 　　The obstetric inpatient department of maternal and child care service in centre Hanchuang City，Hebei Province，4316002 　　Abstract Objective：To observe the clinical effect of standard solution in the treatment of elderly patients with pulmonary heart disease combined with coronary heart disease，and discuss the clinical application value of standard solution.Methods： 120 cases of elderly patients with pulmonary heart disease combined with coronary heart disease were admitted.According to random number table method，they were divided into groups.The control group were given oxygen therapy，anti infection，eliminating phlegm and other conventional treatment.The experimental group were given standard solution treatment.Compare the clinical curative effect of elderly patients between two groups.Results：Compared with the control group，the treatment effect of elderly patients with pulmonary heart disease combined with coronary heart disease in the experimental group was better.PaO2，PaCO2，clinical treatment efficiency of the experimental group were 69.47±8.47mmHg，47.52±10.13mmHg，93.3%， and that of the control group were 60.54±9.41mmHg，57.54±9.64mmHg，78.3%.The differences between the two groups had statistical significance（P0.05）.Conclusion：The clinical effect of using