智慧健康SmartHealthcare2022年第33期128|·健康科学·医学实践中西医结合治疗老年重症心力衰竭的临床效果观察马志青，肖丽萍金塔县人民医院，甘肃金塔735300摘要：目的观察组应用中西医结合治疗老年重症心力衰竭疾病的临床疗效。方法随机抽选2020年1月-2021年12月本院内科收治的68例老年重症心力衰竭患者，将其分成对照组（34例）与观察组（34例）后，分别实施常规西医治疗与中西医结合治疗，观察两组临床效果。结果观察组左室收缩末期内径、左室舒张末期内径、左室收缩末期容积以及左室射血分数等心功能指标均显著优于对照组（P<0.05）。观察组D-二聚体、脑利钠肽等机体高凝状态指标均显著低于对照组（P<0.05）。观察组每搏输出量、心输出量、心脏指数等血流动力学指标均显著高于对照组（P<0.05）。观察组治疗总有效率显著高于对照组（P<0.05）。结论应用中西医结合治疗老年重症心力衰竭疾病可有效帮助改善心功能，缓解机体高凝状态，改善血流动力学指标，疗效显著。关键词：中西医；老年；重症心力衰竭；心功能；高凝状态；疗效DOI:10.19335/j.cnki.2096-1219.2022.33.029ClinicalEffectObservationofIntegratedTraditionalChineseandWesternMedicineonElderlySevereHeartFailureMAZhiqing,XIAOLipingJintaCountyPeople'sHospital,Jinta,Gansu,735300ABSTRACT：ObjectiveToobserveclinicaltreatmenteffectofintegratedtraditionalChineseandwesternmedicineforelderlysevereheartfailureinobservationgroup.MethodsThepaperchose68elderlypatientswithsevereheartfailureadmittedtoourhospitalfromJanuary2020toDecember2021,anddividedthemintocontrolgroup(34cases)andobservationgroup(34cases)randomly.Afterthat,theyweretreatedwithroutinewesternmedicineandintegratedtraditionalandwesternmedicinerespectively.Clinicaleffectbetweentwogroupswasobserved.ResultsIndexesofleftventricularendsystolicdiameter,leftventricularenddiastolicdiameter,leftventricularendsystolicvolumeandleftventricularejectionfractioninobservationgroupweresignificantlybetterthancontrolgroup(P<0.05).IndexesofhypercoagulabilityincludingD-dimerandbrainnatriureticpeptideinobservationgroupweresignificantlylowerthancontrolgroup(P<0.05).Strokeoutput,cardiacoutput,cardiacindexandotherhemodynamicindexesinobservationgroupweresigni...
