CAJ | 학술논문

目的：讨论急诊中以重症心衰来就诊的老年患者的药物治疗效果，总结经验，提高本病的临床治疗效果。方法：采用随机分组法将因重症心衰到急诊就诊的30例老年患者分为两组，每组15例，对照组予β受体阻滞剂美托洛尔，治疗组在对照组的治疗药物上继予厄贝沙坦氢氯噻嗪。结果：治疗组的总有效人数可达13人，而对照组仅为10人。可见，加用厄贝沙坦氢氯噻嗪的临床疗效好于对照组，经统计学分析显示，两组差异具有统计学意义。结论：治疗患有重症心衰的老年人，若在使用美托洛尔的同时使用厄贝沙坦氢氯噻嗪效果较好，可以提高临床疗效。
목적：토론급진중이중증심쇠래취진적노년환자적약물치료효과，총결경험，제고본병적림상치료효과。방법：채용수궤분조법장인중증심쇠도급진취진적30례노년환자분위량조，매조15례，대조조여β수체조체제미탁락이，치료조재대조조적치료약물상계여액패사탄경록새진。결과：치료조적총유효인수가체13인，이대조조부위10인。가견，가용액패사탄경록새진적림상료효호우대조조，경통계학분석현시，량조차이구유통계학의의。결론：치료환유중증심쇠적노년인，약재사용미탁락이적동시사용액패사탄경록새진효과교호，가이제고림상료효。
Objective :To investigate the clinival effect of emergency Internal Medicine in Elderly patients with severe heart failure, sum up experience and inhance the clinical effect of severe heart failure.Methods: 30 cases of elderly patients with severe heart failure were randomly divided into control group(15 cases) and treatment group (15 cases),control group was treated with β-blockers metoprolol,on the basis of control group,treatment group was treated with Irbesartan Hydrochlorothiazide .Results: the number of total efficiency in treatment group was 13,and control group was 10, The addition of Irbesartan Hydrochlorothiazide gained better effect than control group,there was significantly difference(P<0.05).Ccnclusion: in treatment of elderly patients with severe heart failure,using metoprolol and Irbesartan Hydrochlorothiazide simultaneously can increase the clinical efficacy.