新型监护模式应用于慢性心力衰竭急性发作的临床观察

Clinical observation of the application of a new monitoring mode in acute attack of chronic heart failure

目的观察不同监护模式对慢性心力衰竭急性发作患者住院时间、住院费用和心功能改善的影响。方法130例慢性心力衰竭急性发作患者随机分为传统组和观察组,每组65例。传统组采用传统管理模式,观察组采用新型监护模式。对比两组的抗生素和多巴胺的用药情况、住院时间、住院费用、每日体质量变化及每天尿量,观察护理前后的N端B型脑利钠肽前体(NT-Pro BNP)水平和心功能(NYHA)分级改善情况。结果观察组患者每天体质量变化及每天尿量均多于传统组(均P<0.01);住院时间、住院费用和NT-Pro BNP水平低于传统组(均P<0.01)。结论对于慢性心力衰竭急性发作患者,住院期间增加每小时液体出入量及中心静脉压监测,以及加强对患者及其家属的宣教,能够缩短患者住院时间和住院费用,有利于其心功能的改善。

Objective To Investigate the effects of different monitoring modes on hospital stay,hospitalization expense and cardiac function improvement in patients with acute attack of chronic heart failure.Methods 130 patients with acute attack of chronic heart failure were divided into the Traditional Group and Observation Group,65 cases in each group.The Traditional Group received the traditional management mode while the Observation Group received new monitoring mode. The medication of antibiotics and dopamine,hospital stay,hospitalization expense,daily change in body weight and daily urine volume were compared between the two groups.The NT-Pro BNP level and the improvement of New York Heart Association (NYHA) cardiac function grading before and after the nursing were observed and compared.Results The Observation Group had daily change in body weight and urine volume significantly greater than the Traditional Group (P<0.01),and had the hospital stay,hospitalization expenses and NT-Pro BNP level lower than the Traditional Group (P<0.01).Conclusion For patients with acute attack of chronic heart failure,the increase of intake and output fluid volume per hour and the monitoring of central venous pressure during the hospitalization and the education for patients and their families can shorten the hospital stay and hospitalization cost and helps to improve the cardiac function.