首页|分析急诊内科治疗方案用于老年重症心力衰竭患者的临床效果

分析急诊内科治疗方案用于老年重症心力衰竭患者的临床效果

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目的 探究老年重症心力衰竭患者应用急诊内科治疗方案的临床效果.方法 86 例老年重症心力衰竭患者,随机分为对照组与研究组,各 43 例.对照组患者给予常规内科治疗,研究组患者在对照组基础上给予急诊内科综合治疗.对比两组患者心功能指标,治疗效果,不良反应发生率,治疗满意度.结果 治疗后,研究组患者心输出量(CO)(4.24±0.39)L/min、心脏指数(CI)(2.52±0.34)L/(min·m2)以及左室射血分数(LVEF)(59.12±4.57)%均比对照组的(3.66±0.32)L/min、(2.30±0.22)L/(min·m2)、(55.32±4.10)%更高,而B型钠尿肽(BNP)(675.21±68.44)ng/L低于对照组的(819.28±73.35)ng/L,有统计学差异(P<0.05).研究组治疗总有效率 93.02%比对照组的 74.42%更高,有统计学差异(P<0.05).研究组不良反应发生率 4.65%比对照组的 23.26%更少,有统计学差异(P<0.05).研究组患者对治疗效果总满意度 95.35%高于对照组的 74.42%,有统计学差异(P<0.05).结论 急诊内科治疗老年重症心力衰竭患者能够有效改善临床症状及心功能指标,治疗效果显著,且不易引发不良反应,有较高安全性,从而取得患者较高治疗满意度.
Analysis of the clinical effect of an emergency medical treatment program for elderly patients with severe heart failure
Objective To explore the clinical effect of an emergency medical treatment program for elderly patients with severe heart failure.Methods 86 elderly patients with severe heart failure were randomly divided into a control group and a study group,each with 43 cases.Patients in the control group were given conventional medical treatment,and patients in the study group were given comprehensive emergency medical treatment on the basis of the control group.The cardiac function indicators,therapeutic effect,incidence of adverse reactions and satisfaction with treatment were compared between the two groups.Results After treatment,the study group had cardiac output(CO)of(4.24±0.39)L/min,cardiac index(CI)of(2.52±0.34)L/(min·m2)and left ventricular ejection fraction(LVEF)of(59.12±4.57)%,which were higher than(3.66±0.32)L/min,(2.30±0.22)L/(min·m2)and(55.32±4.10)%in the control group;the study group had lower B-type natriuretic peptide(BNP)of(675.21±68.44)ng/L than(819.28±73.35)ng/L in the control group;there was a statistical difference(P<0.05).The total effective rate of the study group was 93.02%,which was higher than the control group's 74.42%,and there was a statistical difference(P<0.05).The incidence of adverse reactions in the study group was 4.65%,which was lower than 23.26%in the control group,and there was a statistical difference(P<0.05).The overall satisfaction with the treatment effect in the study group was 95.35%,which was higher than 74.42%in the control group,and there was a statistical difference(P<0.05).Conclusion Emergency medicine treatment of elderly patients with severe heart failure can effectively improve clinical symptoms and cardiac function indicators,the therapeutic effect is remarkable,and is not easy to cause adverse reactions,has a high safety,so as to obtain high treatment satisfaction of patients.

Severe heart failureEmergency medical treatment programAdverse reactionsCardiac functionOld age

邓金峰、洪静、万世豪、李秀玲、王哲、顾会娟

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274000 菏泽市牡丹区黄堽镇卫生院内科

重症心力衰竭 急诊内科治疗方案 不良反应 心功能 老年

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(11)
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