摘要
目的 探讨老年急性心力衰竭患者分期精细化容量管理护理效果。方法 选取2024年6月至2025年12月我院收治的86例老年急性心力衰竭患者为研究对象，采用双色球随机分组法完成组间划分，每组归入43例（n=43）。对照组予以常规护理管理，实验组在上述基础上实施分期精细化容量管理。比较两组干预后心功能指标、容量负荷指标、减容达标率、住院指标及临床疗效。结果 干预后，实验组心功能、容量负荷改善程度显著优于对照组，减容达标率、总有效率更高，住院时间更短，差异具有统计学意义（P＜0.05），值得进一步探讨。结论 对于老年急性心力衰竭患者而言，在其临床管理方案的横向选择中，推荐首选分期精细化容量管理。该方法不仅能有效改善心功能与容量状态，提高治疗效果与安全性，优化短期预后，值得临床推广应用。
关键词： 老年；急性心力衰竭；精细化容量管理
Abstract
Objective To evaluate the application efficacy of staged precision volume management in elderly patients with acute heart failure, aiming to provide theoretical and practical references for clinical management and better safeguard the health of this population. Methods A total of 86 elderly patients with acute heart failure admitted to our hospital from June 2024 to December 2025 were selected as study subjects. Randomization was performed using a two-color ball method, with 43 cases assigned to each group (n=43). The control group received conventional nursing management, while the experimental group implemented staged precision volume management in addition to standard care. Post-intervention comparisons were conducted on cardiac function parameters, volume load indicators, volume reduction achievement rate, hospitalization metrics, and clinical outcomes. Results After intervention, the experimental group demonstrated significantly better improvements in cardiac function and volume load compared to the control group, with higher volume reduction achievement rates, overall efficacy rates, and shorter hospital stays (P<0.05). These differences were statistically significant and warrant further investigation. Conclusion For elderly patients with acute heart failure, staged precision volume management should be prioritized in clinical management strategies. This approach not only effectively improves cardiac function and volume status but also enhances treatment efficacy and safety while optimizing short-term prognosis, making it worthy of clinical promotion and application.
Key words： Elderly; Acute heart failure; Precision volume management
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