上海医药
上海醫藥
상해의약
SHANGHAI MEDICAL & PHARMACEUTICAL JOURNAL
2015年
7期
36-38
,共3页
慢性心力衰竭%重点随访%心功能
慢性心力衰竭%重點隨訪%心功能
만성심력쇠갈%중점수방%심공능
focus on follow-up%chronic heart failure%cardiac function
目的：探讨慢性心力衰竭患者重点随访对改善心功能的效果。方法：采用随机、对照研究方法，将2010年7月-2014年7月我院诊断明确的慢性心力衰竭患者100例，按随机数字表法分为干预组50例，对照组50例。干预组患者每周随访2次，根据心功能和临床症状进行干预，包括调整规范治疗方案，指导患者正确使用药物。对照组不做任何干预。在6个月和12个月时采用6 min步行试验(6 MWT)及超声心动图检查，对患者的心功能状况评价。结果：6个月、12个月时干预组6 MWT分别为（345±124）m、（369±122）m，明显高于对照组的（283±95）m、（260±86）m，差异有统计学意义（P<0.05）。12个月时，干预组的左心室射血分数显著高于对照组(P<0.05)。结论：对慢性心力衰竭患者进行重点随访干预可以改善其心功能。
目的：探討慢性心力衰竭患者重點隨訪對改善心功能的效果。方法：採用隨機、對照研究方法，將2010年7月-2014年7月我院診斷明確的慢性心力衰竭患者100例，按隨機數字錶法分為榦預組50例，對照組50例。榦預組患者每週隨訪2次，根據心功能和臨床癥狀進行榦預，包括調整規範治療方案，指導患者正確使用藥物。對照組不做任何榦預。在6箇月和12箇月時採用6 min步行試驗(6 MWT)及超聲心動圖檢查，對患者的心功能狀況評價。結果：6箇月、12箇月時榦預組6 MWT分彆為（345±124）m、（369±122）m，明顯高于對照組的（283±95）m、（260±86）m，差異有統計學意義（P<0.05）。12箇月時，榦預組的左心室射血分數顯著高于對照組(P<0.05)。結論：對慢性心力衰竭患者進行重點隨訪榦預可以改善其心功能。
목적：탐토만성심력쇠갈환자중점수방대개선심공능적효과。방법：채용수궤、대조연구방법，장2010년7월-2014년7월아원진단명학적만성심력쇠갈환자100례，안수궤수자표법분위간예조50례，대조조50례。간예조환자매주수방2차，근거심공능화림상증상진행간예，포괄조정규범치료방안，지도환자정학사용약물。대조조불주임하간예。재6개월화12개월시채용6 min보행시험(6 MWT)급초성심동도검사，대환자적심공능상황평개。결과：6개월、12개월시간예조6 MWT분별위（345±124）m、（369±122）m，명현고우대조조적（283±95）m、（260±86）m，차이유통계학의의（P<0.05）。12개월시，간예조적좌심실사혈분수현저고우대조조(P<0.05)。결론：대만성심력쇠갈환자진행중점수방간예가이개선기심공능。
Objective: To explore the effect of the focus on follow-up on the improvement of cardiac function in patients with chronic heart failure.Methods: One hundred cases of the patients with chronic heart failure who were diagnosed in our hospital between July, 2010 and July, 2014 were randomized into an intervention group and a control group by random number tables with 50 cases each. The patients in the intervention group were followed up twice each week and were intervened based on their cardiac function and clinical symptoms, in which to adjust the standard treatment program and guide them to correct medication were included, while no intervention was performed in the control group. The cardiac function was evaluated by 6-minute walking test (6 MWT) and echocardiography.Results: The results of 6 MWT were (345±124) m and (369±122) at the sixth and twelfth month in the intervention group, which were signiifcantly higher than those [(283±95) m and (260±86) m] in the control group (t values were 3.407 and 5.488,P < 0.05. Left ventricular ejection fraction (LVEF) was signiifcantly higher in the intervention group than in the control group at the 12th month (P < 0.05).Conclusion: The focus on follow-up to the patients with chronic heart failure can improve their heart function.
