老年慢性心力衰竭患者合并贫血的治疗观察

Observation on anti-anemia therapy effects in anemia senile patients with chronic congestive heart failure

目的分析老年慢性心衰合并贫血患者抗贫血治疗的临床意义。方法选择老年慢性心衰并贫血患者43例,均予以抗心衰治疗。其中予促红素和(或)铁剂抗贫血治疗23例为观察组,未抗贫血治疗20例为对照组。比较两组治疗后血红细胞、血红蛋白、血细胞比容、心功能分级的变化。结果观察组治疗后贫血明显改善,心功能分级明显好转(P<0.01)。结论老年慢性心衰并贫血患者,有效抗贫血治疗,能改善患者的症状和体征。

Objective To analyse the clinic significance of treatment in anemia senile patients with chronic congestive heart failure （CHF）. Methods All 43 anemia senile patients with chronic congestive heart failure received standard CHF treatment, and were divided into two groups ： treatment group （ n = 23 ） were added with erythropoietin and （or） iron sulfate, control group （n = 20） were not added erythropoietin and （or） iron sulfate. Red blood cell,hemoglobin,hematocrit and cardiac function grade were compared between the two groups. Results There were significant improvement in anemia and cardiac function grade in the treatment group （ P 〈 0. 01 ）. Conclusion Anemia senile patients with chronic congestive heart failure （CHF） were treated effectively with erythropoietin and （or） iron sulfate, and their symptom and sign improved remarkably after treatment.