临床医药文献电子杂志
臨床醫藥文獻電子雜誌
림상의약문헌전자잡지
Journal of Clinical Medical Literature (ElectronicEdition)
2015年
7期
1201-1202
,共2页
心力衰竭%急诊内科%疗效
心力衰竭%急診內科%療效
심력쇠갈%급진내과%료효
Heart failure%Emergency medical%Clinical curative effect
目的：研究老年心衰在急诊内科中的治疗方法。方法选取我院在2013年9月～2014年9月收治的72例老年心力衰竭患者的临床资料，根据数字随机分组法原则，将患者分为两组，每组各36例病例。对照组为常规治疗，观察组在对照组基础上给予厄贝沙坦氢氯噻嗪与美托洛尔联合治疗，比较两组患者的疗效与心功能分级情况。结果①观察组中有35例患者治疗有效，总有效率为97.22%，对照组中有30例患者治疗有效，总有效率为83.33%。观察组治疗有效率优于对照组，对比差异具有统计学意义（P＜0.05）。②观察组的心功能I级、II级均优于对照组，对比差异具有统计学意义（P＜0.05）。结论采用厄贝沙坦氢氯噻嗪与美托洛尔联合使用在老年心力衰竭的治疗中可以起到良好的疗效，有利于改善患者疾病症状，降低死亡率，提升其生活质量，值得临床推广应用。
目的：研究老年心衰在急診內科中的治療方法。方法選取我院在2013年9月～2014年9月收治的72例老年心力衰竭患者的臨床資料，根據數字隨機分組法原則，將患者分為兩組，每組各36例病例。對照組為常規治療，觀察組在對照組基礎上給予阨貝沙坦氫氯噻嗪與美託洛爾聯閤治療，比較兩組患者的療效與心功能分級情況。結果①觀察組中有35例患者治療有效，總有效率為97.22%，對照組中有30例患者治療有效，總有效率為83.33%。觀察組治療有效率優于對照組，對比差異具有統計學意義（P＜0.05）。②觀察組的心功能I級、II級均優于對照組，對比差異具有統計學意義（P＜0.05）。結論採用阨貝沙坦氫氯噻嗪與美託洛爾聯閤使用在老年心力衰竭的治療中可以起到良好的療效，有利于改善患者疾病癥狀，降低死亡率，提升其生活質量，值得臨床推廣應用。
목적：연구노년심쇠재급진내과중적치료방법。방법선취아원재2013년9월～2014년9월수치적72례노년심력쇠갈환자적림상자료，근거수자수궤분조법원칙，장환자분위량조，매조각36례병례。대조조위상규치료，관찰조재대조조기출상급여액패사탄경록새진여미탁락이연합치료，비교량조환자적료효여심공능분급정황。결과①관찰조중유35례환자치료유효，총유효솔위97.22%，대조조중유30례환자치료유효，총유효솔위83.33%。관찰조치료유효솔우우대조조，대비차이구유통계학의의（P＜0.05）。②관찰조적심공능I급、II급균우우대조조，대비차이구유통계학의의（P＜0.05）。결론채용액패사탄경록새진여미탁락이연합사용재노년심력쇠갈적치료중가이기도량호적료효，유리우개선환자질병증상，강저사망솔，제승기생활질량，치득림상추엄응용。
Objective To study the elderly heart failure in the emergency medical treatment. Methods Select our hospital in September 2013 to September 2014, the clinical data of 72 cases of senile heart failure patients, according to the principle of digital random grouping, divided the patients into two groups, each group of 36 cases. Compared with conventional treatment, the observation group based on the control for the sand jotham hydrochlorothiazide and metoprolol combined treatment, compare the clinical curative effect of two groups of patients with cardiac function classification.Results (1) in the observation group 35 patients with effective treatment, the total effective rate was 97.22%, the control group of 30 patients with effective treatment, the total effective rate was 83.33%. Efficient observation treatment group is better than that of control group, compared with statistical significance (P<0.05). (2) the heart function class I and class II in observation group were better than the control group, compared with statistical significance (P<0.05).Conclusion He sha Tanzania hydrochlorothiazide and metoprolol combined to use in the treatment of senile heart failure can have good curative effect, is helpful to improve patients with symptoms, reduce mortality and improve their quality of life, worthy of clinical popularization and application.
