老年重症心力衰竭急诊内科治疗效果分析

Emergency Medical Treatment of Elderly Patients with Severe Heart Failure Effect Analysis

目的:探讨急诊内科治疗老年重症心力衰竭患者的临床效果。方法:选择我院收治的重症充血性心力衰竭的老年患者60例,平均分为两组:对照组给予强心剂、利尿剂治疗,观察组在对照组的基础上在早期加用美托洛尔联用厄贝沙坦氢氯噻嗪治疗;对两组治疗结果进行比较。结果:观察组30例中,总有效率为96.7%;对照组30例中,总有效率为86.7%,两组比较差异显著(P<0.05)。在治疗后6个月对患者行NYHA、LVEF及BNP观察,两组比较差异显著(P<0.05)。结论:老年重症心力衰竭患者在临床治疗中,采用美托洛尔联用厄贝沙坦氢氯噻嗪治疗,具有较好的临床效果。

Objective：To evaluate emergency medical treatment of elderly patients with severe heart failure patients with clinical effects.Methods：Our hospital with severe congestive heart failure in elderly 60 patients were divided into two groupsxontrol group was given tonic,diuretic treatment.observation group were based on the addition of metoprolol in the early stage MS Irbesartan Hydrochlorothiazide therapy;treatment of the two groups were compared.Results：30 patients.the total effective rate was 96.7%;the control group of 30 patients,the total effective rate was 86.7%,the difference was significant（P0.05）.6 months after treatment of patients with NYHA,LVEF and BNP observed,the difference was significant（P0.05）.Conclusion：elderly patients with severe heart failure patients in clinical treatment.the use of metoprolol combined with irbesartan hydrochlorothiazide treatment,with a good clinical effect.