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目的:对老年心力衰竭患者应用急诊内科治疗的临床疗效进行观察、总结和分析。方法:以汕尾市陆河县人民医院2014年12月至2016年8月接收的92例老年重症心力衰竭患者为研究对象,随机分为观察组和对照组,各46例。其中对照组患者采用常规内科治疗,而观察组患者采用急诊治疗,即在常规内科治疗的基础上加用美托洛尔和厄贝沙坦氢氯噻嗪治疗。对比两组患者的临床效果。结果:观察组患者的治疗总有效率为93.5%,明显高于对照组的82.6%,且各项血流动力学指标均优于对照组,差异具有统计学意义(P<0.05)。结论:急诊治疗老年重症心力衰竭患者的总体临床疗效较好,能够显著改善患者的预后。
Objective: To observe, summarize and analyze the clinical efficacy of emergency medical treatment in elderly patients with heart failure. Methods: A total of 92 elderly patients with severe heart failure received by Luhe County People’s Hospital of Shanwei City from December 2014 to August 2016 were randomly divided into observation group and control group, with 46 cases in each group. Patients in the control group received conventional medical treatment, while patients in the observation group received emergency treatment, that is, metoprolol and irbesartan plus hydrochlorothiazide were used on the basis of conventional medical treatment. Compare the clinical effect of two groups of patients. Results: The total effective rate of the observation group was 93.5%, which was significantly higher than that of the control group (82.6%). All hemodynamic parameters were better than the control group (P <0.05). Conclusion: The overall clinical efficacy of emergency treatment for elderly patients with severe heart failure is good, which can significantly improve the prognosis of patients.