厄贝沙坦氢氯噻嗪联合美托洛尔治疗老年重症心力衰竭的效果

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Abstract [Abstract]Objective To explore the clinical effect and application value of Irbesartan hydrochlorothiazide combined with Metoprolol in the treatment of elderly patients with severe heart failure.Methods From January 2017 to March 2018,96 cases of elderly patients with severe heart failure were selected as the study subjects in the emergency department and cardiology department of Zhanjiang Central People′s Hospital.They were divided into group A(conventional treatment)and Group B (conventional treatment combined with irbesartan hydrochlorothiazide and metoprolol)by the random number table method,with 48 cases in each group.The clinical efficacy and cardiac function recovery for the two groups were compared at 3 months and 6 months.Results The total effective rate of treatment in group B were higher than that in group A at 3 and 6 months,and the differences were statistically significant(P<0.05).The left ventricular ejection fraction (LVEF)of the two groups at 3 and 6 months afthe treatment were higher than that pre-treatment,and the patientsand heart rate (HR),B-type natriuretic peptide (BNP),systolic blood pressure (SBP),diastolic blood pressure (DBP)were lower than those pre-treatment,and the differences were statistically significant(P<0.05).At 3 and 6 months after treatment,the LVEF of group B were higher than that of group A,while the HR,BNP and SBP in group B were significantly lower than that of group A (P<0.05).At 3 months after treatment,the DBP of the group B was lower than that of group A,and the difference was statistically significant(P<0.05).There were no significant diff erence in the cardiac function of the two groups in the pre-treatment(P>0.05).The cardiac function in the two groupsat3 and 6 monthsaftertreatmentwere significantly better than pre-treatment (P<0.05).The cardiac function in group B were significantly better than that in group A at 3 and 6 months after treatment,and the differences were statistically significant (P<0.05).Conclusion Conventional treatment combined with Irbesartan hydrochlorothiazide and Metoprolol is a safe and effective treatment for elderly patients with severe heart failure.It can significantly improve the clinical symptoms and cardiac function of patients in the short-term and long-term applications.The cardiac function recovery of Patients have a better prognosis.which is worthy applying and promoting in clinical practice.

Key words： Conventional treatment Combination therapy Elderly patients with severe heart failure Clinical effect Prognosis

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