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老年缺血性心力衰竭患者ICU治疗与传统治疗的疗效及心理状态比较研究

A Comparative Study of the Efficacy and Psychological States between Patients with Senile Ischemic Heart Failure Undergone ICU and Conventional Therapies.

作者信息

DU Changli

机构信息

Dept. of Cardiology, Hospital of Traditional Chinese Medicine of Rizhao, Rizhao, Shandong Province, 276800, China.

出版信息

Iran J Public Health. 2016 Jun;45(6):748-53.

Abstract

BACKGROUND

Our aim was to forward an effective therapeutic approach by comparing efficacy and psychological states between patients with senile ischemic heart failure undergone ICU and conventional therapies.

METHODS

We selected 64 patients from Hospital of Traditional Chinese Medicine of Rizhao (Shandong, China) between June 2013 and June 2014. The patients had ischemic heart disease, and were monitored for one-year time span. They were randomly divided into the experiment and control group, each of which of 32 cases. The experimental group received an ICU therapy, whereas the control group was treated with conventional therapy. The result of patients' cardiac function, SDSSAS index and clinical efficacies were monitored and compared.

RESULTS

Both groups, especially the experiment group showed significant improvement in the left ventricular end-diastolic diameter, left ventricular ejection fraction and cardiac NYHA rating (P<0.05). The experiment group needed less hospital stay and hence significantly more cost effective in comparison to control group (P<0.05). The therapy in terms of stent implantation, coronary artery bypass surgery and pure medication was not of statistical significant (P>0.05). In comparison to control group, the experiment group showed significantly lower mortality rate in short and long term (P<0.05). The SDSSAS rating of the 2 groups, especially the control group was significantly increased (P< 0.05).

CONCLUSION

We observed improvement in clinical efficacy and depressed anxiety among patients with serious senile ischemic heart failure, after specialized ICU therapy.

摘要

背景

我们的目的是通过比较接受重症监护病房(ICU)治疗和传统治疗的老年缺血性心力衰竭患者的疗效和心理状态,提出一种有效的治疗方法。

方法

我们于2013年6月至2014年6月从日照市中医医院(中国山东)选取了64例患者。这些患者患有缺血性心脏病,并进行了为期一年的监测。他们被随机分为实验组和对照组,每组32例。实验组接受ICU治疗,而对照组接受传统治疗。监测并比较患者的心功能、SDSSAS指数和临床疗效结果。

结果

两组,尤其是实验组,左心室舒张末期内径、左心室射血分数和心脏NYHA分级均有显著改善(P<0.05)。与对照组相比,实验组住院时间更短,因此成本效益显著更高(P<0.05)。在支架植入、冠状动脉搭桥手术和单纯药物治疗方面,差异无统计学意义(P>0.05)。与对照组相比,实验组在短期和长期的死亡率均显著降低(P<0.05)。两组的SDSSAS评分,尤其是对照组显著升高(P<0.05)。

结论

我们观察到,经过专门的ICU治疗后,重症老年缺血性心力衰竭患者的临床疗效有所改善,焦虑情绪有所缓解。

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