个体化治疗对老年慢性心力衰竭住院患者预后的影响

doi:10.3969/j.issn.1006-6233.2018.02.006

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摘要 目的: 探讨老年综合评估干预后个体化治疗对老年慢性心力衰竭住院患者预后的影响,以期能为老年患者的健康保障提供借鉴。方法: 将2014年1月至2016年1月期间220例CHF住院患者作为研究对象,按照随机数表法将其分为对照组与观察组,每组各110例。对照组进行常规药物治疗与对症治疗,观察组进行老年综合评估,并根据评估结果组织多学科诊疗制定个体性治疗方案。两组患者进行为期1年的随访,对死亡率、再入院率、急诊就诊率以及心功能、认知功能和生活质量等指标进行比较分析。结果: 观察组死亡率、再入院率和急诊就诊率分别为8.18%、23.64%、16.36%,低于对照组19.09%、38.18%、30.00%(P<0.05);干预后观察组LVEF为(51.25±6.68),明显高于对照组(46.71±5.87)(P<0.05);C-MLHF评分为(37.61±6.51),明显低于对照组(45.51±5.59)(P<0.05);MoCA评分为(24.51±2.87),明显高于对照组(22.59±2.91)(P<0.05)。结论: 老年综合评估干预后个体化治疗能够显著降低老年慢性心力衰竭住院患者的死亡率、再入院率、急诊就诊率,提升心功能、认知功能和生活质量,改善患者预后,值得在临床上推广使用。

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	黄智钢
	李燕

关键词 ：老年综合评估, 多学科诊疗, 慢性心力衰竭

Abstract：Objective: To investigate the effect of geriatric comprehensive assessment intervention on the prognosis of hospitalized elderly patients with chronic heart failure, so as to provide reference for the health protection of elderly patients. Methods: During the period of January 2014 to January 2016, 220 inpatients with CHF were included in this study as the research object, randomly divided into control group and observation group, 110 cases in each group. The control group was given routine drug treatment and symptomatic treatment, the observation group was given comprehensive evaluation of the elderly, and the multidisciplinary treatment was organized according to the evaluation results, and individual treatment program was formulated. Two groups of patients were followed up for 1 year. The mortality, readmission rate, emergency visit rate, cardiac function, cognitive function and quality of life were compared and analyzed. Results: The mortality, readmission rate and emergency visit rate of the observation group were 8.18%, 23.64% and 16.36%, respectively, which were lower than 19.09%, 38.18% and 30% of the control group (P<0.05); After the intervention, the LVEF of the observation group was (51.25±6.68), which was significantly higher than that of the control group (46.71±5.87) (P<0.05); The C-MLHF score was (37.61+6.51), which was significantly lower than that of the control group (45.51±5.59) (P<0.05); The MoCA score was (24.51±2.87), which was significantly higher than that of the control group (22.59±2.91)(P<0.05). Conclusion: The elderly intervention after comprehensive geriatric assessment can significantly reduce the mortality, readmission rate, emergency treatment rate, improve cardiac function, cognitive function and quality of life, and improve the prognosis of elderly patients with chronic heart failure, which is worthy of clinical use.

Key words： Comprehensive geriatric assessment Multidisciplinary diagnosis and treatment Chronic heart failure

基金资助:云南省老年病防治中心基金项目,(编号:2017NS221)

通讯作者: 李燕,Email:liyanken@126.com

引用本文:

黄智钢, 李燕. 个体化治疗对老年慢性心力衰竭住院患者预后的影响[J]. 河北医学, 2018, 24(2): 202-205.
HUANG Zhigang, LI Yan. The Effect of Individualized Treatment on the Prognosis of Elderly Patients with Chronic Heart Failure. HeBei Med, 2018, 24(2): 202-205.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2018.02.006 或 http://www.hbyxzzs.cn/CN/Y2018/V24/I2/202

[1] 刘辉,姚璐,张薇,等.老年综合评估护理模式对老年冠心病患者不良事件的影响[J].中国循证心血管医学杂志,2016,8(9):1090~1092.
[2] 屈海宏,陈长香.老年综合评估护理模式对老年冠心病患者心脏与护理不良事件的影响[J].山西医药杂志,2014,(8):963~964.
[3] 黄蔚,孙颖,沈潞华,等.老年综合征与心力衰竭预后的研究进展[J].中华老年多器官疾病杂志,2014,(9):652~655.
[4] 魏华,宋蕾,安妮娜,等.老年综合评估与老年失代偿期心力衰竭住院患者死亡率的关系研究[J].中华现代护理杂志,2016,22(16):2260~2263.
[5] 梁世秀,王少凡,胡松,等.老年综合评估干预对老年慢性心力衰竭住院患者预后的影响[J].中国老年学杂志,2016,36(20):5023~5024.
[6] 陈欣.老年综合评估在老年心力衰竭住院患者中的应用[J].中西医结合护理(中英文),2017,3(5):101~102.
[7] 谭丽娟,张悟棠,冷婧,等.慢性充血性心力衰竭预后评价及危险因素探讨[J].中国药物与临床,2015,(6):884~886.
[8] 胡芬.康复运动治疗老年慢性心力衰竭患者的有效性和安全性研究[J].中国现代药物应用,2014,(5):232~233.
[9] 谢海霞.老年慢性心力衰竭患者自我护理能力的初步调查与分析[J].当代医学,2014,(22):163~164.
[10] 孙倩倩,王双.老年综合评估的临床应用及研究进展[J].中国老年学杂志,2012,32(3):660~662.
[11] 屈海宏,陈长香,徐爱茹,等.根据老年综合评估的护理干预对老年冠心病患者生活质量的影响[J].心血管康复医学杂志,2014,20(2):209~212.
[12] 何劲,周华英,赵国华,等.老年综合评估在老年疾病预后中的应用效果[J].老年医学与保健,2017,23(3):229~230,247.
[13] 屈海宏,陈长香,徐爱茹,等.老年综合评估护理干预在提高老年冠心病患者生活质量中的应用[J].中华现代护理杂志,2014,20(20):2485~2488.
[14] 傅琼,储苏平,莫利萍,等.老年人综合评估对居家老人健康干预效果及分析[J].老年医学与保健,2016,22(4):245~248.
[15] 王丹,吴春丽.老年综合评估在住院老年患者中应用的临床意义[J].中国民康医学,2014,(24):101~102.
[16] 林妍,王雷懿,王震,等.老年人综合评估和干预对出院患者预后的影响[J].中华老年医学杂志,2014,33(10):1089~1092.