摘要
目的对急诊内科中老年重症心力衰竭的治疗方法及效果进行探究。方法方便选取2019年3月—2020年3月该院急诊科收治的老年重症心力衰竭患者90例,依据入院先后顺序平均分为研究组与参照组,每组45例。给予参照组患者硝普钠、强心剂与利尿剂等常规内科治疗,研究组患者除接受与参照组相同的内科治疗外额外接受厄贝沙坦氢氯噻嗪与美托洛尔治疗,对两组患者的治疗效果与超声心动图指标进行对比与分析。结果研究组的治疗总有效率为95.56%,参照组患者的治疗总有效率为73.33%,研究组明显高于参照组,差异有统计学意义(χ^(2)=8.459,P<0.05);在超声心动图指标方面,治疗前两组患者LVEF、LVEDVI、LVSAVI及E/A差异无统计学意义(P>0.05),经治疗后研究组上述指标明显优于参照组,差异有统计学意义(P<0.05)。结论厄贝沙坦氢氯噻嗪片与美托洛尔等类型的药物治疗能够在常规心力衰竭内科治疗的基础上提高老年重症心力衰竭的治疗效果,改善患者心功能,值得于临床领域进行广泛推广与使用。
Objective To explore the treatment methods and effects of severe heart failure in middle-aged and elderly patients in emergency medicine.Methods Conveniently select a total of 90 elderly patients with severe heart failure admitted to the emergency department of the hospital from March 2019 to March 2020 were divided into the study group and the reference group according to the order of admission.45 patients in each group.Conventional medical treatments such as sodium nitroprusside,cardiotonics and diuretics were given to the reference group.Patients in the study group received irbesartan hydrochlorothiazide and metoprolol in addition to the same medical treatment as the reference group.The therapeutic effect and echocardiography chart indicators for comparison and analysis of the two groups of patients.Results The total effective rate of treatment in the study group was 95.56%,and that of patients in the reference group was 73.33%.The study group was significantly higher than the reference group,and the difference was statistically significant(χ^(2)=8.459,P<0.05);in terms of echocardiography indicators,there was no statistically significant difference in LVEF,LVEDVI,LVSAVI and E/A between the two groups before treatment(P>0.05).After treatment,the above indicators in the study group were significantly better than the reference group,and the difference was statistically significant(P<0.05).Conclusion Irbesartan hydrochlorothiazide tablets and metoprolol and other types of drug therapy can improve the treatment effect of elderly severe heart failure and improve the heart function of patients on the basis of conventional heart failure medical treatment.It is worthy of extensive promotion and use in the clinical field.
作者
宫霖
GONG Lin(Department of Emergency Medicine,Laixi People's Hospital,Laixi,Shandong Province,266600 China)
出处
《中外医疗》
2021年第12期11-14,共4页
China & Foreign Medical Treatment
关键词
老年重症心力衰竭
急诊内科
治疗方法
治疗效果
Elderly severe heart failure
Emergency medicine
Treatment method
Treatment effect
