在晚期心力衰竭的老年成人患者中进行腹膜超
Ana Rodríguez-Álvarez1, Juan Carlos Piñeiro-Fernández2, Héctor Guerrero-Sande2
1Heart Failure Unit, Lucus Augusti University Hospital, SERGAS, 1 Ulises Romero Street, 27003, Lugo, Spain. arodalv0@gmail.com.
Internal and emergency medicine
|June 1, 2023
概括
腹膜超 (PUF) 显著减少了晚期心力衰竭的老年人住院和尿液救援治疗. 这种安全有效的疗法可以改善复杂疾病患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 老年病的医生 老年病的医生
背景情况:
- 晚期心力衰竭 (HF) 与耐火性充血症状严重影响预后和生活质量.
- 在HF中,尿剂耐药性需要采用替代的管理策略.
- 患有并发症的老年人在HF管理中存在独特的挑战.
研究的目的:
- 评估腹超过 (PUF) 在患有晚期心力衰竭和耐火症状的老年成人患者的有效性和安全性.
- 评估PUF对住院病人的影响,利尿救援治疗,功能和存活率.
主要方法:
- 在2014-2021年期间接受PUF的18名晚期HF患者的回顾性分析.
- 在PUF开始前一年和之后的一年里,住院病例和静脉注射尿剂使用情况的比较.
- 评估功能,与PUF相关的并发症和生存率.
主要成果:
- 在开始PUF后,因HF入院的病例从20下降到4 (p=0.01).
- 静脉注射利尿剂救援治疗的使用量显著下降,从118例降至4例 (p<0.001).
- 在第一年没有观察到明显的功能恶化或主要的PUF并发症;一年生存率为72%.
结论:
- 腹膜超是一种安全有效的治疗方法,适用于患有晚期心力衰竭和耐火性充血症状的老年人.
- PUF减少了医疗保健的使用,包括住院治疗和注射利尿剂.
- 这种疗法为管理复杂的HF群体提供了有希望的选择.
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