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重症心力衰竭急诊内科治疗及预后分析

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目的 做好重症心力衰竭治疗,分析内科诊疗及预后效果。方法 采用随机分组方式,将本院2020年1月-2022年1月收治的60例重症心力衰竭患者分为常规组和联合组,每组30例,分别采用常规治疗法和美托洛尔与厄贝沙坦氢氯噻嗪治疗法,做好效果分析、比较。结果 联合组总有效率明显比常规组高(P<0。05);两组治疗前收缩压、舒张压、LVEF、BNP指标相近(P>0。05),联合组治疗后收缩压、舒张压、BNP指标均比常规组低,LVEF指标比常规组高(P<0。05);联合组治疗后整体生活质量评分优于常规组(P<0。05);联合组并发症发生率比常规组低(P<0。05)。结论 美托洛尔联合厄贝沙坦应用在心力衰竭患者的治疗中,心功能明显改善,临床效果好转,能够减少并发症发生率,提升其生活品质。
Emergency Internal Medicine Treatment and Prognosis of Severe Heart Failure
Objective To carry on internal medicine diagnosis and treatment for severe psychological failure and analyze prognostic effect.Methods The paper divided patients with severe heart failure into two groups randomly(routine group and combination group),treated with routine treatment,metoprolol and irbesartan hydrochlorothiazide treatment(visit time was from January 2021 to January 2022).Curative effect was analyzed and compared.Results Total effective rate of combination group was significantly higher than routine group,(P<0.05).Systolic blood pressure,diastolic blood pressure,LVEF,and BNP indicators before treatment were similar between two groups,(P>0.05).After treatment,systolic blood pressure,diastolic blood pressure,and BNP indicators in combination group were lower than routine group,while LVEF indicators were higher than routine group,(P<0.05).Overall life quality scores of combination group were better than routine group,(P<0.05).Incidence of complications in combination group was lower than routine group(P<0.05).Conclusion Metoprolol combined with irbesartan can improve heart function of heart failure patients significantly with good clinical effect,reduce complications,and enhance their life quality.

Severe heart failureEmergency internal medicine treatmentMetoprololIrbesartan hydrochlorothiazideHeart functionLife qualityPrognostic effect

梁泽锋

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吴川市第四人民医院,广东 吴川 524500

重症心力衰竭 急诊内科治疗 美托洛尔 厄贝沙坦氢氯噻嗪 心功能 生活质量 预后效果

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(14)