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目的观察急诊集束化治疗急性心力衰竭患者的效果及对心肺功能的影响。方法 85例急性心力衰竭患者,按照不同治疗方案将其分为对照组(39例)与研究组(46例)。对照组患者行常规急诊治疗,研究组患者行急诊集束化治疗,对比两组临床相关指标及治疗前后心肺功能改善情况。结果研究组气短缓解时间为(4.52±0.52)h,急诊室治疗时间为(2.96±0.47)h,均短于对照组的(8.45±0.86)h、(4.28±0.39)h,差异具有统计学意义(P<0.05);与治疗前比较,两组治疗后的动脉血氧分压(PaO_2)、动脉血氧饱和度(SaO_2)、收缩压(SBP)、呼吸(RR)等心肺指标均显著改善,且研究组改善幅度明显优于对照组(P<0.05)。结论急性心力衰竭患者行急诊集束化治疗取得良好效果,可有效促进其气促缓解时间缩短,并改善患者心肺功能,具一定临床应用及研究价值。
Objective To observe the effect of emergency cluster therapy on patients with acute heart failure and its influence on cardiopulmonary function. Methods A total of 85 patients with acute heart failure were divided into control group (n = 39) and study group (n = 46) according to different treatment regimens. The patients in the control group underwent routine emergency treatment. The patients in the study group underwent emergency cluster therapy. The clinical-related indexes and the improvement of cardiopulmonary function before and after treatment were compared between the two groups. Results The relief time of shortness of breath was (4.52 ± 0.52) h in the study group and (2.96 ± 0.47) h in the emergency room, which were both shorter than that of the control group (8.45 ± 0.86) h and (4.28 ± 0.39) h, (P <0.05). Compared with those before treatment, PaO2, SaO2, SBP and RR were significantly different between the two groups after treatment Improve, and the research group improved significantly better than the control group (P <0.05). Conclusions The emergency treatment of acute heart failure patients achieved good results, which can effectively promote the shortening of the time to relieve shortness of breath and improve the cardiopulmonary function of patients with a certain clinical application and research value.