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1、老年重症心力衰竭73例临床疗效探析［摘要］目的探讨治疗老年重症心力衰初的临床疗效，为临床治疗提供依据。方法整群选取该院2014年9月一2015年2月收治的老年重症心力衰竭的患者146例，随机分为对照组和治疗组各73例，对照组采用强心昔及硝普纳进行治疗，治疗组在强心昔及硝普纳治疗的基础上加用美托洛尔以及厄贝沙坦氢氯曝嗪进行治疗，30天后两组进行疗效比较，观察两组治疗效果。结果治疗组显效35例((47.94%),有效33例(45.21%),无效5例(6.85%),总有效率93.15%。对照组显效26例(3
2、5.62%),有效34例(46.58%),无效13例(17.81%),总有效率82.19%。总有效率x2检验，P二0.044,治疗组效果明显优于对照组，P<0.05,差异有统计学意义。结论在采用强心甘及硝普纳治疗的基础上加用美托洛尔以及厄贝沙坦氢氯曝嗪联合治疗老年重症心力衰竭的疗效，效果显著，患者临床症状明显改善，心功能明显改善，有效提高患者的生存质量，值得临床推广应用。［关键词］老年；重症心力衰竭；临床治疗效果［中图分类号］R4［文献标识码］A［文章编号］1674-0742(2015)11(b)-0
3、063-02［Abstract］ObjectiveToinvestigatetheclinicalefficacyinelderlypatientswithsevereheartfailuresoastoprovideabasisforclinicaltreatment.Methods146elderlypatientswithsevereheartfailureadmittedinourhospitaifromSeptember2014toFebruary2015wereselectedandran
4、domlydividedintocontrolgroupandtreatmentgroup,with73casesineach.Bothgroupsweretreatedbycardiacglycosideandsodiumnitroprusside,thetreatmentgroupweretreatedbymetoprolol,irbesartanandhydrochlorothiazideadditionally.Theclinicalefficacyofthetwogroupswasobser
5、vedandcomparedafter30daysoftreatment.ResultsInthetreatmentgroup,thetreatmenteffectwasmarkedlyeffectivein35cases(47.94%),effectivein33cases(45.21%),ineffectivein5cases(6.85%),thetotaleffectiveratewas93.15%・Inthecontrolgroup,thetreatmenteffectwasmarkedlye
6、ffectivein26cases(35.62%),effectivein34cases(46.58%),ineffectivein13cases(17.81%),thetotaleffectiveratewas82.19%.Theresultofchi-squaretestshowedthatthetotaieffectiveofthetreatmentgroupwasmuchbetterthanthatofthecontrolgroup,withstatisticallysignificantdi
7、fference,P二0.044,P<0.05.ConclusionMetoprolol,irbesartanandhydrochlorothiazidecombinedwithcardiacglycosideandsodiumnitroprussidehavesignificanteffectonelderlypatientswithsevereheartfailure,whichcaneffectivelyimprovetheclinicalsymptomsandheartfunctionandt
8、helivingqualityofpatients，whichareworthyofclinicalapplication.[Keywords]Elderly；Severeheartfailure；Clinicalefficacy心力衰竭乂称为心衰，指的是因为心脏的收缩功能以及舒张功能出现了障碍，无法将静脉中的回心血量完全地排出心脏，致使静脉系统中的血液淤积，动脉系统屮的血液灌注量不够，从而，引发了心脏循环的障碍症候群，该障碍症候群的突出表现为：肺淤血以
