老年重症心力衰竭急诊内科治疗效果观察

Observe the therapeutic effect of elderly patients with severe heart failure in emergency internal medicine

目的:探讨老年重症心力衰竭急诊内科治疗的临床效果。方法:收治老年重症心力衰竭患者80例,随机分成对照组和观察组各40例,对照组采取常规治疗,口服利尿剂、强心剂;观察组在对照组的基础上给予厄贝沙坦氢氯噻嗪片150mg/日,美托洛尔12.5mg/日,2次/日,治疗14天。结果:两组治疗前心功能分级均为4,观察组治疗后6个月(3.45±0.11),治疗后12个月(2.02±0.18),对照组治疗后6个月(3.22±0.25),治疗后12个月(2.63±0.13),两组治疗后与治疗前比较差异有统计学意义(P<0.05),治疗后观察组明显优于对照组,两组治疗后比较差异有统计学意义(P<0.05),两组左室射血分数治疗前比较差异无统计学意义(P>0.05)。结论:厄贝沙坦氢氯噻嗪片治疗老年重症心力衰竭疗效显著。

Objective:To expolre the therapeutic effect of elderly patients with severe heart failure in emergency internal medicine. Methods:We selected 80 cases of elderly patients with severe heart failure in 2012 February to 2013 May,these patients were randomly divided into the observation group and the control group with 40 cases in each.The control group was given conventional therapy,oral diuretic and cardiotonic.The observation group on the basis of the control group was given Irbesartan and Hydrochlorothiazide Tablets 150mg/day,metoprolol 12.5mg/day,2 times/day,for 14 days.Results:Classification of cardiac function in two groups were 4 before treatment.The observation group at 6 months after treatment was 3.45 ± 0.11,12 months after treatment was2.02±0.18.The control group at 6 months after treatment was 3.22±0.25,12 months after treatment was 2.63±0.13. The two groups before and after treatment were significantly different(P<0.05),the observation group after treatment was significantly better than the control group after treatment,the two groups after treatment were significantly different(P<0.05),two groups of left ventricular ejection fraction before treatment had no significant difference(P>0.05).Conclusion:The curative effect of Irbesartan and Hydrochlorothiazide Tablets in treatment of elderly severe heart failure is significant and worth promoting.