老年重症心力衰竭急诊内科治疗效果探析

Therapeutic Effect of Emergency Internal Medicine in the Treatment of Aged Severe Heart Failure

目的观察探讨老年重症心力衰竭急诊内科治疗的临床效果,并总结其临床意义。方法选自我院急诊内科门诊自2010年5月至2012年2月收治的32例为老年重症心力衰竭的患者,将其随机分为观察组和对照组各16例,观察组使用厄贝沙坦氢氯噻嗪联合美托洛尔治疗,对照组使用美托洛尔治疗,观察对比两组患者的临床治疗效果。结果观察组总有效率为87.5%,对照组中总有效率为68.7%,两组疗效及死亡率比较差异显著(P<0.05),具有统计学意义。结论老年重症心力衰竭患者在急诊内科治疗中使用厄贝沙坦氢氯噻嗪联合美托洛尔治疗效果显著。

Objective To observe the therapeutic effect of emergency internal medicine in the treatment of aged severe heart failure, and summarize its clinical significance. Methods 32 aged patients with severe heart failure in the emergency internal medicine department from May 2010 to February 2012 were selected and divided into two groups. 16 cases of othe bservation group were treated with irbesartan and hydrochlorothiazide combined with metoprolol, and 16 cases of the control group were treated with metoprolol. The clinical therapeutic effects were compared. Results The total effective rate in the observation group was 87.5%, and 58.7% in the control group. The difference of efficacy and mortality was statistically significant （P 〈0.05）. Conclusions Irbesartan and hydrochlorothiazide combined with metoprolol has significant therapeutic effect for elderly patients with severe heart failure in the department of emergency internal medicine.