原俊玲

[摘要] 目的 分析急性心力衰竭患者实施急诊救治的临床分析。 方法 从该院2016年12月—2017年12月期间所收治的所有急性心力衰竭患者当中方便选取其中的108例患者作为该次的观察研究对象，按照个人意愿分为对照组和观察组;对照组的54例患者采用硝酸甘油进行治疗，观察组的54例患者实施硝普钠进行治疗;对比两组临床治疗效果、两组患者的心率和血压。 结果 观察组的临床治疗总有效率为96.30%，对照组的临床治疗总有效率为75.93%，差异有统计学意义（χ2=9.367，P<0.05）;观察组和对照组患者在心率、舒张压和收缩压方面，差异有统计学意义（t=4.265、4.264、4.292，P<0.05）。 结论 对急性心力衰竭患者实施硝普钠进行急诊救治能够显著提高患者的临床治疗效果，改善患者的心率、血压等相关指标，值得进行临床推广。

[关键词] 急性心力衰竭;急诊救治;硝普钠;硝酸甘油

[中图分类号] R5          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0040-03

Clinical Analysis of Emergency Treatment for Acute Heart Failure

YUAN Jun-ling

Department of Emergency Medicine， Rongcheng People's Hospital， Weihai， Shandong Province， 264300 China

[Abstract] Objective To analyze the clinical analysis of acute heart failure patients treated with emergency treatment. Methods 108 patients with acute heart failure who were treated in the hospital from December 2016 to December 2017 were convenient selected as the subject of this observation and divided into control group and observation group according to individual wishes; 54 patients were treated with nitroglycerin in the control group， and 54 patients in the observation group were treated with sodium nitroprusside. Clinical efficacy of the two groups， heart rate and blood pressure in the two groups were compared. Results The total effective rate of clinical treatment in the observation group was 96.30%， and the total effective rate of clinical treatment in the control group was 75.93%. The difference was statistically significant（χ2=9.367， P<0.05）; the observation group and the control group were in the heart rate had a significant difference in diastolic blood pressure and systolic blood pressure， and the difference was statistically significant（t=4.265， 4.264， 4.292，P<0.05）. Conclusion The emergency treatment of sodium nitroprusside in acute heart failure patients can significantly improve the clinical treatment effect of patients， improve the patient's heart rate， blood pressure and other related indicators， and it is worthy of clinical promotion.

[Key words] Acute heart failure; Emergency treatment; Sodium nitroprusside; Nitroglycerin

在急性心力衰竭的急診救治过程当中，急诊救治效果与急救的时间和方法有着非常重要的关系[1]。为了改善和提高急性心力衰竭患者的临床急诊救治效果，该文对2016年12月—2017年12月收治的108例急性心力衰竭患者分别采取不同药物治疗的临床急诊救治效果进行简要的探究和分析，现报道如下。

1  资料与方法

1.1  一般资料

从该院所收治的所有急性心力衰竭患者当中方便选取其中的108例患者作为该次的观察研究对象，这108例患者经过影像学和化验检查确诊为急性心力衰竭患者，这108例患者均有不同程度的呼吸困难、病情突发、伴有哮鸣音、存在反复性咳嗽和冒汗等临床表现，所有患者治疗前的心率>120次/min[2]。将这108例患者按照个人意愿分为对照组和观察组，两组各有54例患者;在对照组的54例患者当中，男34例，女20例，患者的年龄在39～68岁之间，平均年龄为（50.54±5.63）岁;在观察组的54例患者当中，男35例，女19例，患者的年龄在40～70岁之间，平均年龄为（62.34±7.63）岁。……