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

目的观察老年重症心力衰竭病人实施急诊内科治疗后的效果,并对其临床意义进行总结。方法随机选取2010年6月—2012年6月2年期间某医院急诊内科门诊接受治疗的32例老年重症心力衰竭病人,并将其随机分为两组,即观察组(16例)与对照组(16例),观察组病人,给予厄贝沙坦氢氯噻嗪,并结合关托洛尔进行治疗;对照组病人,给予美托洛尔进行治疗。然后对两组病人的临床治疗效果实施观察。结果观察组中治疗总有效率达到了89.1%,而对照组中治疗总有效率达到了69.2%,对两组患者的死亡率与疗效进行对比,差异有统计学意义(P<0.05)。结论老年重症心力衰竭病人进行厄贝沙坦氢氯噻嗪并辅以美托洛尔治疗效果明显。

Objective To observe the treatment effect of emergency internal medicine in the treatment of elderly patients with se- vere heart failure, and summarize its clinical significance. Methods 32 cases of elderly patients with severe heart failure admitted in the outpatient of Department of Emergency Internal Medicine of a hospital from June, 2010 to June, 2012 were randomly select- ed and divided into two groups, namely, the observation group （16 cases） and the control group （16 cases）. The observation group was treated with irbesartan and hydrochlorothiazide combined with metoprolol, and＇ the control group was treated with metoprolol. Then the clinical effect of both groups was observed. Results The total effective rate of the observation group reached 89.1%, while that of the control group was 69.2%. The differences in mortality and efficacy between the groups were statistically significant （P〈 0.05）. Conclusion Irbesartan and bydrochlorothiazide combined with metoprolol is quite effective in the treatment of elderly pa- tients with severe heart failure.