77例慢性心力衰竭住院病例药物治疗分析

Analysis on the medical therapy in 77 cases of hospitalized patients with chronic heart failure

目的:评估循证医学心血管疾病成果是否普及到小城市医疗中心。方法:采用回顾性住院病例77例分析,按年度统计对比。结果:77例次慢性心力衰竭(CHF)患者药物治疗仍以传统治疗为主,ACE抑制剂应用大幅度提高,β-受体阻滞剂应用极少,醛固酮拮抗剂未见应用。结论:循证医学成果已影响到小城市医疗中心,但推广范围及力度不够,β-受体阻滞剂是薄弱环节,靶剂量概念仍有待进一步提高。

Objective To evaluate if Evidence Medicine achievments of cardiovascular disease have effected medical entre in twon. Methods To analyse 77 cases of chronic heart failure in our hospital from 1996 and 2002. Results The conventional drugs still dominate the medical therapy for the heart failure,but the use of ACEI increased significantly,the use of β-blocker was rare, no use of aldosterone antagonist. Conclusion Evidence Medicne achievments have effected medical entre in town, but the promoted extension and power are insufficient,the use of β-blocker and aldosterone agtagonist is fragile segment, the concept of baget dose still needs to be improved.