摘要
目的分析急诊内科重症心力衰竭患者的治疗方法 ,总结相应的诊疗经验。方法将该院急诊内科2015年6月—2016年6月收治的76例重症心力衰竭患者选为该次研究对象,根据随机抽签法将76例患者分为对照组(38例,采用常规治疗措施)和治疗组(38例,在对照组治疗同时加用厄贝沙坦氢氯噻嗪、美托洛尔治疗),对比分析两组患者治疗效果以及治疗后心功能分级等情况。结果治疗组、对照组患者治疗有效分别为34例(89.5%)、23例(60.5%),治疗组患者治疗效果明显优于对照组,差异有统计学意义(P<0.05)。治疗组患者心功能I级率(21.1%)、心功能II级率(52.6%)明显高于对照组10.5%、36.8%,两组差异有统计学意义(P<0.05)。结论急诊内科重症心力衰竭患者联合采用厄贝沙坦氢氯噻嗪和美托洛尔治疗可取得良好的治疗效果,有效改善患者临床症状,提高患者心功能,是一种值得推广的有效治疗方案。
Objective To analysis the emergency medical treatment in patients with severe heart failure,summarizes the corresponding diagnosis and treatment experience. Methods Our hospital emergency medicine in June 2015 to June2016,76 patients with severe heart failure were selected as the research object,according to the random draw method76 patients were divided into control group（conventional treatment） and treatment group（treatment in the control group at the same time with hydrochlorothiazide he sand,metoprolol therapy）,the treatment effect and the middle of the back analysis of two groups of patients function classification,and so on and so forth. Results Treatment group and control group patients with effective treatment of 34 cases respectively（89.5%）,23 cases（60.5%）,the treatment group patients with the treatment effect is better than the control group（P 〈 0.05）.Treatment group patients with cardiac function grade I rate（21.1%）,cardiac function class II rate（52.6%） is significantly higher than the control group were 10.5%,36.8%,contrast differences between the two groups have statistical significance（P 〈 0.05）. Conclusion The emergency medicine in patients with severe heart failure combined with urban bei sha Tanzania hydrochlorothiazide and metoprolol treatment can achieve good treatment effect,effectively improve the clinical symptoms,improve patient heart function,is an effective treatment to be promoted.
出处
《系统医学》
2017年第1期16-17,20,共3页
Systems Medicine
关键词
急诊内科
重症心力衰竭
临床分析
诊疗
Emergency internal medicine
Severe heart failure
Clinical analysis
Diagnosis and treatment
