【摘要】 目的研究急诊内科老年重症心力衰竭的治疗方案。方法选取我院2014年2月~2015年10月急诊内科老年重症心力衰竭患者83例。随机分组,a组行常规抗心衰治疗;b组在a组基础上增加美托洛尔+厄贝沙坦氢氯噻嗪治疗。观察两组的抗心衰效果和用药前和用药后患者BNP、LVEF、NYHA的差异。结果 b组相比于a组抗心衰效果更高,P<0.05。用药前两组BNP、LVEF、NYHA相似,P>0.05;用药后组b相比于组a BNP、LVEF、NYHA改善更明显,P<0.05。结论急诊内科老年重症心力衰竭给予常规治疗联合美托洛尔+厄贝沙坦氢氯噻嗪治疗,可提升疗效,改善心功能。更多还原

【Abstract】 Objective To study the treatment of elderly patients with severe heart failure in the emergency internal medicine. Methods Selected 83 cases in our hospital from February 2014 to October 2015 emergency internal medicine for elderly patients with severe heart failure. Randomly divided into group a underwent routine anti heart failure treatment, group B in group A on the basis of metoprolol and irbesartan hydrochlorothiazide treatment, the effect of anti heart failure, before and after treatment in patients with BNP,LVEF,NYHA differences. Results Group B compared to group a anti heart failure effect was higher, P<0.05. Before treatment, two groups of BNP, LVEF, NYHA, P>0.05, after treatment group B compared to group a BNP, LVEF and NYHA improved more significantly, P<0.05. ConclusionElderly patients with severe heart failure in the emergency department to give the conventional treatment combined with metoprolol and irbesartan hydrochlorothiazide thiazide treatment,can improve the curative effect,improve heart function.更多还原