慢性心力衰竭68例临床分析(1)
【摘要】 目的：探讨老年慢性心力衰竭的诱因、临床特点，以提高疾病的诊断和治疗水平。方法：对笔者所在医院收治的68例慢性心力衰竭患者的临床资料进行回顾性总结分析。结果：在68例慢性心衰患者中，治疗过程中均应用利尿剂、ACEI或ARB类药物45例(66.2%)，β受体阻滞剂33例(48.5%)。所选病例经积极合理的治疗与护理，其中63例病情好转，心功能改善，生活质量提高，其中显效44例(64.7%)，有效19例(27.9%)，总有效率为92.6%；无效4例(5.9%)，死亡1例(1.5%)。结论：老年慢性心力衰竭患者症状多样和不典型，诊断和治疗比较棘手。工作中加强对老年心衰特点的认识，早发现、早诊断，做到临床指南和个体化治疗相结合，能够降低老年慢性心衰患者的病死率，提高生存质量，改善预后。
【关键词】 慢性心力衰竭； 临床分析
中图分类号 R541.6 文献标识码 B 文章编号 1674-6805(2016)12-0122-02
, 百拇医药
Clinical Analysis of 68 Cases of Chronic Heart Failure/WANG Li-feng.//Chinese and Foreign Medical Research，2016，14(12)：122-123
【Abstract】 Objective：To investigate the causes and clinical characteristics of chronic heart failure in elderly patients，in order to improve the diagnosis and treatment of disease.Method：The clinical data of 68 patients with chronic heart failure admitted to our hospital were summarized and analyzed retrospectively.Result：In 68 patients with chronic heart failure，there were 45 patients(66.2%) with diuretic，ACEI or ARB，and 33 cases(48.5%) with β-blocker.The selected cases were treated with active and reasonable treatment.63 patients were improved，the improvement of heart function and quality of life improved，44 cases(64.7%) were markedly effective，19 cases(27.9%) were valid，the total effective rate was 92.6%，4 cases(5.9%) were invalid，1 case(1.5%) died.Conclusion：The symptoms of elderly patients with chronic heart failure are varied and atypical，and the diagnosis and treatment of chronic heart failure is more difficult.To strengthen the understanding of the characteristics of heart failure，early detection，early diagnosis，combination of clinical guidance and individualized treatment，can reduce the mortality of elderly patients with chronic heart failure，improve the quality of life，improve its prognosis.
, http://www.100md.com
【Key words】 Chronic heart failure； Clinical analysis
First-author’s address：Shougang Mining Hospital，Qian’an 064404，China
doi：10.14033/j.cnki.cfmr.2016.12.066
心力衰竭是指各种心脏疾病导致心功能不全的终末阶段，是指由于心脏损害而引起心排血量减少，不能满足人体组织需要的一种综合征[1]。临床表现主要是呼吸困难和无力并体力活动受限和液体潴留。慢性心力衰竭是各种心血管疾病的最终阶段，也是最主要死亡的原因，严重CHF的年死亡率为30%～40%[2-3]。本文对笔者所在医院2008年5月-2013年6月因慢性心力衰竭住院的68例患者进行回顾性分析，旨在探讨老年慢性心力衰竭临床特点。
1 资料与方法
1.1 一般资料
对笔者所在医院2008年5月-2013年6月因慢性心力衰竭就诊的门诊及住院68例患者的临床资料进行回顾性分析。结合患者的病史和临床检查均确诊为慢性心力衰竭，所有患者符合2007年中国慢性心力衰竭诊断和治疗指南中心力衰竭的诊断标准[4-5]。患者年龄≥60岁，其中男49例，女19例，男女比例2.6∶1，年龄60～89岁，平均(70±3)岁。心衰类型及心功能分级主要表现为收缩性心衰38例，舒张性心衰14例，混合性心衰16例。按美国纽约心脏病学会(NYHA)分级：心功能Ⅱ级28例，Ⅲ级31例，Ⅳ级9例。, http://www.100md.com(王丽峰)
【关键词】 慢性心力衰竭； 临床分析
中图分类号 R541.6 文献标识码 B 文章编号 1674-6805(2016)12-0122-02
, 百拇医药
Clinical Analysis of 68 Cases of Chronic Heart Failure/WANG Li-feng.//Chinese and Foreign Medical Research，2016，14(12)：122-123
【Abstract】 Objective：To investigate the causes and clinical characteristics of chronic heart failure in elderly patients，in order to improve the diagnosis and treatment of disease.Method：The clinical data of 68 patients with chronic heart failure admitted to our hospital were summarized and analyzed retrospectively.Result：In 68 patients with chronic heart failure，there were 45 patients(66.2%) with diuretic，ACEI or ARB，and 33 cases(48.5%) with β-blocker.The selected cases were treated with active and reasonable treatment.63 patients were improved，the improvement of heart function and quality of life improved，44 cases(64.7%) were markedly effective，19 cases(27.9%) were valid，the total effective rate was 92.6%，4 cases(5.9%) were invalid，1 case(1.5%) died.Conclusion：The symptoms of elderly patients with chronic heart failure are varied and atypical，and the diagnosis and treatment of chronic heart failure is more difficult.To strengthen the understanding of the characteristics of heart failure，early detection，early diagnosis，combination of clinical guidance and individualized treatment，can reduce the mortality of elderly patients with chronic heart failure，improve the quality of life，improve its prognosis.
, http://www.100md.com
【Key words】 Chronic heart failure； Clinical analysis
First-author’s address：Shougang Mining Hospital，Qian’an 064404，China
doi：10.14033/j.cnki.cfmr.2016.12.066
心力衰竭是指各种心脏疾病导致心功能不全的终末阶段，是指由于心脏损害而引起心排血量减少，不能满足人体组织需要的一种综合征[1]。临床表现主要是呼吸困难和无力并体力活动受限和液体潴留。慢性心力衰竭是各种心血管疾病的最终阶段，也是最主要死亡的原因，严重CHF的年死亡率为30%～40%[2-3]。本文对笔者所在医院2008年5月-2013年6月因慢性心力衰竭住院的68例患者进行回顾性分析，旨在探讨老年慢性心力衰竭临床特点。
1 资料与方法
1.1 一般资料
对笔者所在医院2008年5月-2013年6月因慢性心力衰竭就诊的门诊及住院68例患者的临床资料进行回顾性分析。结合患者的病史和临床检查均确诊为慢性心力衰竭，所有患者符合2007年中国慢性心力衰竭诊断和治疗指南中心力衰竭的诊断标准[4-5]。患者年龄≥60岁，其中男49例，女19例，男女比例2.6∶1，年龄60～89岁，平均(70±3)岁。心衰类型及心功能分级主要表现为收缩性心衰38例，舒张性心衰14例，混合性心衰16例。按美国纽约心脏病学会(NYHA)分级：心功能Ⅱ级28例，Ⅲ级31例，Ⅳ级9例。, http://www.100md.com(王丽峰)