急诊内科治疗老年重症心力衰竭的效果分析.docVIP

急诊内科治疗老年重症心力衰竭的效果分析 (四川省人民医院四川成都610000) 目的探究不同药物在治疗老年重症心力衰遍的临床疗效。方法 将我院急诊内科近年来收治的136例老年重症心力衰竭患者，分为研究组和对照 组两组，每组各68人，在治疗过程中对照组患者给予强心剂、澤利尿剂和美托 洛尔；研究组在对照组的基础上联用厄贝沙坦氢氯卩塞嗪，对两组患者的临床疗效 进行对比分析。结果研究组患者治疗后的显效率和总有效率均高于对照组，两 组差异显著，具有统计学意义(P0.05)；同时，研究组患者治疗后心功能平均 分级、LVEF、BNP较对照组改善明显(P0.05)o结论急诊内科治疗老年重症 心力衰竭患者时，在常规治疗的基础上联用厄贝沙坦氢氯卩塞嗪和美托洛尔，具有 较好的临床疗效。 关键词 急诊内科；重症心力衰竭；老年；临床效果 R541 A 2095-1752 (2016) 34-0024-02 Analysis of the effect of emerge ncy in ter nal medicine treatment on elderly patients with severe heart failure Wang Yifan Sichuan Provinee Peoples Hospital,Chengdu Sichuan,6L0000,China [Abstract] Objective To explore the clinical efficacy of different drugs in the treatment of elderly patients with severe heart failure. Methods 136 cases of elderly patients with severe heart failure in emergency internal medicine of our hospital were divided into two groups: the experiment group and control group, each group had 68 people. The control group were giving cardiac tonic, loop diuretics and metoprolol.The experiment group added irbesartan hydrochlorothiazide thiazide.Compared the clinical curative effect of two groups ? Results The markedly effective rate and total effective rate of the experiment group are higher than those of the control group, the results have statistical significanee (P lt; 0.05).At the same time, cardiac function, LVEF and BNP in the experiment group after treatment improve significantly than those in the control group(P lt; 0.05). Conclusion In emerge ncy in ter nal medici ne,the conventional treatme nt added irbesarta n hydrochlorothiazide thiazide and metoprolol in treating elderly patients with severe heart failure has good clinical efficacy? Key words］ Emerge ncy in ter nal medici ne; Severe heart failure; The elderly; Clinical effect 心力衰竭(heartfailure)是临床上常见的急危重症之一，直接危害到患者的 生命。随着社会经济的发展，生活水平不断提高，心血管疾病的发生率也越来越 高，严重影响患者的生活质量，心力衰竭往往是各种心血管疾病进行性发展的最 终结局［1］,许多老年患者因心力衰竭而丢失生命［2］。在急诊内科经常遇到老年 重症心力衰竭的患者，进行早期积极有效的内科治疗就尤为重要。本研究对比了 两种方法治疗老年重症心力衰竭，观察其临床疗