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目的:探讨管理慢性心力衰竭(CHF)患者的一种模式。方法:2006年1 月至2008年1月,159例CHF患者入选,干预组90例,对照组69例。比较两组患者的服药、再住院及死亡情况。结果:1年时两组服用ACEI(或ARB)制剂比例(71.1%vs 53.6%,P=0.03),β受体阻滞剂(63.3%vs 44.9%,P=0.03),两组的心力衰竭再住院情况(38.9%vs 56.5%,P=0.04);总死亡情况(13.3%vs 26%,P=0.06),心源性死亡情况(11.1%vs 24.6%,P=0.03)。结论:应用医院-社区-家庭多元化模式管理CHF患者减少了再住院率和心源性死亡率。
Aim: To explore a model for managing patients with chronic heart failure (CHF). METHODS: From January 2006 to January 2008, 159 CHF patients were enrolled, 90 in the intervention group and 69 in the control group. The medication, hospital readmission and death were compared between the two groups. Results: The ratio of ACEI (or ARB) preparations (71.1% vs 53.6%, P = 0.03) and β-blockers (63.3% vs 44.9%, P = 0.03) (38.9% vs 56.5%, P = 0.04); overall death (13.3% vs 26%, P = 0.06), cardiac death (11.1% vs 24.6%, P = 0.03). CONCLUSIONS: The use of hospital-community-family diversity to manage CHF patients reduces rehospitalization and cardiac deaths.