家庭监测体重在门诊治疗慢性充血性心力衰竭的临床观察

目的观察监测体重对慢性充血性心力衰竭患者的预后影响。方法对115例慢性心力衰竭患者进行对比研究,每天在清晨起床没有进食前进行体重监测并记录,发现体重在2d内有明显变化给予及时治疗。结果随访治疗1年后治疗组的因心衰加重后住院率低(P<0.01)、生存质量明显提高(P<0.01)。结论对慢性充血性心力衰竭患者监测体重有利于改善患者的预后。

Objective To observe the effect of the weight monitoring on the prognosis of patients with chronic congestive heart failure. Methods Monitoring and recording the weight of the patients every morning before eating anything, timely treatment should be given to patients when the weight changed obviously in two days. Results The hospitalization rate because of heart failure was lower in the patients who were followed up over 1 years of treatment in the treatment group （P〈0.01）, the quality of life improved significantly （P〈0.01）. Conclusion The weight monitoring effectively improved the prognosis of patients with chronic congestive heart failure.