中国临床保健杂志2012，Vol.15Issue(6)：589-591,3.DOI:10.3969/J.issn.1672-6790.2012.06.012
引入循证医学理念治疗老年心力衰竭患者的临床效果
Analysis of therapeutic effect of evidence-based medicine and its influence factors on 86 very old patients with chronic heart failure
张红亮 1刘定彬 1王玉玲 1刘军玺1
作者信息
- 1. 解放军第二五一医院干部病房,张家口,075000
- 折叠
摘要
Abstract
Objective To analyse the therapeutic effect of evidence-based medicim( EBM ) and its influence factors on the very old patients with chronic heart failure( CHF ). Methods Patients aged over 80 were very old group,aged 65-79 were senile group, on the basis of the therapy of etiology and inducement,the standard of EBM therapy was used. To analyse the therapeutic effect of evidence-based medicine ( EBM ) and its influence factors. Results There were significant difference on effective rate between senile group and very old group ( P = 0. 005 ),which were 40.7% and 65. 9% ,respectively. There were difference in efficiency ( 88.4% ,95. 6% ) and inpatient mortality ( 5.8% ,1.1% ) between two groups. Logistic regression revealed therapeutic effect of aged CHF patients was positively associated with age ( P = 0. 047 ), heart function at admission ( P = 0. 000 ), hypertension ( P = 0. 007 ) and arrhythmia ( P = 0. 046 ). Conclusion Therapeutic effect significantly decline with age growth in elderly CHF patients. The older the patients and the lower heart function at admission, the worst therapeutic effect on aged CHF patients. Hypertension and arrhythmia were also important factors affecting therapy on CHF patients.关键词
心力衰竭,充血性/循证医学/危险因素/老年人,80以上Key words
Heart failure,congestive/Evidence-based medicine/Risk factors/Aged,80 and over分类
医药卫生引用本文复制引用
张红亮,刘定彬,王玉玲,刘军玺..引入循证医学理念治疗老年心力衰竭患者的临床效果[J].中国临床保健杂志,2012,15(6):589-591,3.
