首页|心理干预联合甲状腺素(小剂量)和厄贝沙坦氢氯噻嗪治疗老年重症心力衰竭的临床疗效观察

心理干预联合甲状腺素(小剂量)和厄贝沙坦氢氯噻嗪治疗老年重症心力衰竭的临床疗效观察

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目的 分析心理干预联合甲状腺素(小剂量)、厄贝沙坦氢氯噻嗪治疗老年重症心力衰竭的临床疗效观察.方法 选取2015年1月~2016年12月收治的60例老年重症心力衰竭患者作为本次的研究对象,随机分为对照组和实验组,每组患者各为30例.对照组患者进行常规治疗,实验组患者进行小剂量甲状腺素联合厄贝沙坦氢氯噻嗪治疗联合心理干预,关注患者心理状态.比较分析实验组与对照组患者的临床治疗效果.结果 治疗后,实验组患者治疗总有效例数为26例,治疗有效率为86.7%,对照组患者治疗总有效例数为21例,治疗有效率为70.0%,实验组患者的治疗有效率显著高于对照组患者,差异具有统计学意义(P<0.05).治疗后,实验组患者的左心室射血分数指标、四碘甲状腺原氨酸与三碘甲状腺原氨酸水平均显著高于未治疗前,对照组患者左心室射血分数指标显著高于治疗前,差异具有统计学意义(P<0.05).结论 小剂量甲状腺素联合厄贝沙坦氢氯噻嗪治疗老年重症心力衰竭临床效果较好,能够在一定程度上提高治疗效果.
Clinical observation of low dose thyroxine combined with irbesartan and hydrochlorothiazide in the treatment of elderly patients with severe heart failure
Objective To study the clinical efficacy of low dose thyroxine combined with irbesartan hydrochlorothiazide in the treatment of elderly patients with severe heart failure. Methods 60 cases of elderly patients with severe heart failure who were admitted from January 2015 to December 2016 were selected as the research object in this study. They were randomly divided into control group and experimental group, each group was divided into two groups, each with a total of 30 cases. Patients in the control group were treated with conventional therapy, while the experimental group was treated with low dose thyroxine combined with irbesartan and hydrochlorothiazide. Comparative analysis of clinical efficacy of the experimental group and control group. Results After treatment, the total effective number of patients in the experimental group was 26 cases, the effective rate was 86.7%. The total effective number of patients in the control group was 21 cases, the effective rate was 70.0%. Therefore, the effective rate of the experimental group was significantly higher than that of the control group, with statistical difference (P<0.05). After treatment, the experimental group of patients with left ventricular ejection fraction index, four triiodothyronine and three triiodothyronine levels were significantly higher than those before treatment, the control group of patients with left ventricular ejection fraction were significantly higher than before treatment, with statistical difference (P<0.05). Conclusion Low dose thyroxine combined with irbesartan hydrochlorothiazide in the treatment of elderly patients with severe heart failure has better clinical effect, can improve the therapeutic effect in a certain extent, with further clinical promotion and application significance.intervention in two groups. Results The clinical intervention effect of the observation group was better than that of the control group, the stability of the tumor focus, the degree of pain, the quality of life and other aspects were better than the control group, the difference between the two groups was statistically significant (P<0.05). Conclusion Patients with advanced non-smal cell lung cancer chemotherapy choose psychological intervention compound sophora injection combined treatment effect is remarkable, which can effectively improve the patient's clinical symptoms and quality of life.

thyroxineirbesartan hydrochlorothiazidesevere heart failure

余晓英、沈凤、胡静勤、雷群芳、陆燕红

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浙江省荣军医院大桥分部(嘉兴老年病医院)老年病区,浙江 嘉兴 314001

浙江省荣军医院 心内科,浙江 嘉兴 314000

浙江省荣军医院 老年康复病区,浙江 嘉兴 314000

甲状腺素 厄贝沙坦氢氯噻嗪 老年 心力衰竭

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(10)
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