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心力衰竭管理模式探讨 被引量:8

Evaluation of Management Mode in Patients With Chronic Heart Failure
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摘要 目的:评价不同管理模式对慢性收缩性心力衰竭(心衰)患者神经内分泌、心功能、心脏事件、生活质量和医疗费用的影响。方法:120例慢性心功能不全患者,在常规治疗心衰的前提下,随机分为心衰管理组和心衰非管理组各60例,治疗后两年其对神经内分泌、心功能、心脏事件、生活质量和医疗费用的影响。结果:心衰管理组治疗后心功能、生活质量、神经内分泌较心衰非管理组治疗后改善(P<0.05),心衰恶化再入院减少(P<0.05),心脏事件较心衰非管理组明显减少(P<0.05),年心衰治疗费用较后者减少(P<0.05),差异均有统计学意义。结论:通过心衰管理能改善心功能及生活质量,减少心衰医疗费用、心脏事件的发生。 Objects :To evaluate the management mode in patients with chronic systolic heart failure. Methods:A total of 120 patients with chronic heart failure received routine treatment, and meanwhile,the patiewts were randomly divided into two groups as Management group and Non-management group, n=60 in each group. The neurohumoral regulation, cardiac function, cardiac events, life quality and the cost of medical expenses were compared between two groups. Results:With 2 years treatment, the patients in Management group presented significantly improved cardiac function, life quality and neuroumoral regulation than those in Non-management group, P 〈 0.05 respectively. The Management group also showed decreased re-hospitalization,less cardiac events and reduced annual medical cost,P〈0.05 respectively. Conclusion:Proper management may improve the cardiac function and life quality in patients with chronic heart failure, and may reduce their cardiac events and medical cost.
出处 《中国循环杂志》 CSCD 北大核心 2012年第3期196-199,共4页 Chinese Circulation Journal
基金 杨浦区卫生局课题 课题编号200812
关键词 心力衰竭 心衰管理 Heart failure Heart failure management
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参考文献13

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共引文献21

同被引文献88

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