摘要
Abstract
Objective:To investigate the treatment of elderly patients with severe heart failure and the effect of ICU patients.Meth-ods:random number table ICU of our hospital from June 2012 to 54 elderly patients with severe heart failure patients in June 2014 re-ceived bits divided into a control group and observation group, 27 cases in each group.Line control group by conventional methods symp-tomatic treatment of heart failure, observation group metoprolol treatment Irbesartan Hydrochlorothiazide On this basis, the two groups were compared before and after treatment clinical outcomes and left ventricular ejection fraction ( LVEF) , changes in B-type natriuretic pep-tide ( BNP) and the New York heart Association NYHA class ( NYHA)heart function and other indicators.Results:After treatment, the control group that were seven cases, effective 13 cases, ineffective in 7 cases, total effective rate was 74.07%; observation group, 11 ca-ses markedly effective in 15 cases, one case, the total effective rate was 96.30%, the difference between groups was statistically signifi-cant (P <0.05).LVEF two groups of patients before treatment, BNP and NYHA cardiac function, such as the difference was not statisti-cally significant (P>0.05), two groups of patients after treatment showed significant improvement in these indicators, the magnitude of which improve the observation group was significantly higher than the control group differences were statistically significant ( P <0.05) . Conclusion:On the basis of conventional symptomatic treatment of the elderly with severe heart failure in ICU patients given metoprolol treatment Irbesartan Hydrochlorothiazide obtain the desired therapeutic effect, can be learning and promotion clinic.关键词
重症心力衰竭/老年/ICU/治疗Key words
Severe heart failure/Elderly/ICU/Treatment分类
医药卫生