急诊治疗重症心力衰竭的临床效果分析

Clinical effect analysis of emergency treatment for severe heart failure

目的:探讨老年重症心力衰竭患者急诊治疗方案及其临床效果。方法:收治老年重症心力衰竭患者90例,分为两组。对照组给予急诊常规治疗,观察组在对照组基础上给予厄贝沙坦氢氯噻嗪与美托洛尔治疗,比较两组治疗效果及不良反应发生情况。结果:观察组治疗有效率明显高于对照组,差异具有统计学意义(P<0.05)。治疗后,观察组左室射血分数、B型脑钠肽改善程度明显优于对照组,差异具有统计学意义(P<0.05)。观察组复发率、死亡率明显低于对照组,差异具有统计学意义(P<0.05)。结论:在急诊常规治疗基础上给予厄贝沙坦氢氯噻嗪与美托洛尔治疗老年重症心力衰竭患者临床疗效显著,不良反应发生率较低。

Objective:To explore the emergency treatment and clinical effect for elderly patients with severe heart failure.Methods:90 cases of elderly patients with severe heart failure were divided into two groups.The control group was given conventionalemergency treatment,and the observation group was given irbesartan hydrochlorothiazide and metoprolol on the basis of thecontrol group.The curative effect and adverse reactions of the two groups were compared.Results:The effective rate of theobservation group was significantly higher than that of the control group,and the difference was statistically significant (P<0.05).After treatment,the left ventricular ejection fraction and B-type natriuretic peptide in the observation group were significantlybetter than those in the control group,and the differences were statistically significant (P<0.05).The recurrence rate and mortalityof the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Irbesartan hydrochlorothiazide and metoprolol on the basis of the conventional emergency treatment forelderly patients with severe heart failure had significant clinical effect and lower incidence of adverse reaction.