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目的:观察慢性心力衰竭(CHF)贫血患者生活质量并评价干预对其影响。方法:对入选的319例CHF患者分为A组和B组,并按血红蛋白水平分为贫血组和非贫血组,采用6min步行试验及明尼苏达心功能不全生活质量量表(Minnesota living with heart failure questionnaire,LH-FQ)对其治疗前及治疗后6个月时的生活质量进行评估。结果:采用不同方案治疗后的结果显示,B组贫血组在贫血改善后6min步行距离随时间的推进而增加,LHFQ积分随时间的推进而逐步下降,且优于A组(P<0.05),并且联合用药治疗CHF患者优于单一药物。结论:积极纠正贫血,规范治疗对老年性CHF病人的生活质量有显著的改善作用。
Objective: To observe the quality of life of patients with chronic heart failure (CHF) and to evaluate the impact of intervention on them. Methods: A total of 319 CHF patients were divided into group A and group B. Patients were divided into anemia group and non-anemia group according to hemoglobin level. The 6 min walk test and Minnesota living with heart failure questionnaire , LH-FQ) to assess their quality of life before and after 6 months of treatment. Results: The results of treatment with different regimens showed that the distance of walking in 6 min after anemia improved in group B increased with time, and the integral of LHFQ decreased gradually with time, which was better than that in group A (P <0.05) And combined treatment of CHF patients is better than a single drug. Conclusion: The positive correction of anemia, normative treatment of elderly patients with CHF significantly improve the quality of life.