系统化急救干预在老年高血压合并急性心衰患者中的应用效果

Application effect of systematic emergency intervention in elderly pa-tients with hypertension complicated with acute heart failure

目的探讨系统化急救干预在老年高血压合并急性心力衰竭患者中的应用效果。方法选择山东大学齐鲁医院2018年1月—2019年1月期间收治的老年高血压合并急性心力衰竭患者82例作为研究对象,采用随机数字表法分为对照组与观察组,每组41例。对照组采用常规干预,观察组采取系统化急救干预。比较两组干预满意度,干预前后舒张压和收缩压及心功能变化。结果观察组干预总满意率(95.12%)高于对照组(68.29%),差异具有统计学意义(P<0.05)。两组干预后舒张压和收缩压较干预前降低(观察组:t=14.572、14.305,对照组:t=10.935、8.042,P<0.05);干预后观察组舒张压和收缩压低于对照组(t=6.042、7.124,P<0.05)。两组干预后LVEF较干预前升高,而LVEDD和LVESD较干预前降低(观察组:t=15.107、19.370、19.555,对照组:tt=9.642、9.766、8.414,P<0.05);干预后观察组LVEF高于对照组,而LVEDD和LVESD低于对照组(t=10.547、12.526、10.303,P<0.05)。结论系统化急救干预老年高血压合并急性心力衰竭患者临床效果良好,可降低患者血压及改善心功能。

Objective To explore the clinical effect of systematic first aid intervention on elderly patients with hyperten‐sion and acute heart failure.Methods 82 elderly patients with hypertension and acute heart failure admitted to our hospital from January 2018 to January 2019 were selected as the study subjects,and randomly divided into control group and observation group with 41 cases in each group.The control group was given routine intervention,while the observation group was given systematic first aid intervention.The satisfaction degree of intervention,changes of diastol‐ic blood pressure,systolic blood pressure and cardiac function before and after intervention were compared between the two groups.Results The total satisfaction rate of intervention in the observation group(95.12%)was higher than that in the control group(68.29%)(P<0.05).After intervention,the diastolic and systolic blood pressures of the two groups were lower than those of the control group(observation group:t=14.572,14.305,control group:t=10.935,8.042,P<0.05);after intervention,the diastolic and systolic blood pressures of the observation group were lower than those of the control group(t=6.042,7.124,P<0.05).After intervention,LVEF increased,but LVEDD and LVESD decreased(obser‐vation group:t=15.107,19.370,19.555,control group:tt=9.642,9.766,8.414,P<0.05);after intervention,LVEF in ob‐servation group was higher than that in control group,while LVEDD and LVESD were lower than those in control group(t=10.547,12.526,10.303,P<0.05).Conclusion Systematic first aid intervention has a good clinical effect in elderly patients with hypertension and acute heart failure,which can reduce blood pressure and improve cardiac function.