96例老年慢性心力衰竭患者门诊综合治疗观察.docVIP

96例老年慢性心力衰竭患者门诊综合治疗观察[摘要]目的探讨老年慢性心力衰竭患者,门诊药物治疗和院外康复锻炼的经验,提高生活质量,降低住院率。方法 96例患者在常规抗心衰治疗的基础上,随意分为康复组(n=49):在医护人员指导下进行康复锻炼,对照组(n=47):在家中进行一般的生活运动。结果 康复组患者生活质量明显提高,心功能显著改善,年平均住院天数为18天;而对照组生活质量明显下降,心功能减退,年平均住院天数为39天。结论 老年慢性心力衰竭患者,在常规抗心衰治疗的基础上,给予合理的康复锻炼,进行综合治疗,可改善心功能,提高生活质量,降低住院率和死亡率。 [关键词]老年; 慢性心力衰竭; 门诊治疗; 康复锻炼 [中图分类号] R541.6+1[文献标识码]A [文章编号] 1005-0515(2010)-10-015-02 Clinical Observation of 96 Elderly Patients with Chronic Heart Failure with Combined Outpatient Treatment Zhang Gui-sheng ,ZhangTing-ting ( ShanghaiArmedPoliceHospital ,Shanghai201103,China) [Abstract]ObjectiveFor the elderly patients with chronic heart failure patients, to study the experiences of outpatient drug treatment and rehabilitation outside the hospital, improve quality of life, reduce hospitalization rates. Methods96 patients, based on the conventional anti-heart failure therapy, randomly divided into rehabilitation group (n = 49): In the medical rehabilitation exercises under the guidance ;andthe control group (n = 47): living at home for general movement . Results The quality of life in rehabilitation group patients was significantly improved and the heart function significantly increased , 1 year average hospital stay was 18 days; in the control group, the quality of life significantly decreased and the heart function significantly declined , a year the average hospital stay was 39 days. ConclusionFor the elderly patients with chronic heart failure, based on the conventional therapy ,to give a reasonable rehabilitation exercises for the combinedtreatment, can improve cardiac function and quality of life and reduce hospitalization rates. [Keywords] elderly; chronic heart failure; outpatient, rehabilitation exercise 随着我国人口老年化日趋加剧,老年心力衰竭患者也不断在增加,门诊就诊率逐年在升上[1],由于它是各种心脏疾病的终末阶段,是严重的临床综合征,需要长期临床治疗和生活康复锻炼,进行综合治疗,否则可直接影响患者的生活质量,增加住院率和死亡率。现将我院近年来,门诊综合治疗老年慢性心力衰竭患者的临床观察报道如下。 1 资料与方法 1.1 一般资料 老年慢性心力衰竭患者 96例,其中男66例,女30例,年龄69-91岁,均系2008年8月至2010年8月,在我院心血管专科门诊治疗患者。其中冠状动脉粥样硬化性心脏