Clinical Analysis of 59 Old Chronic Heart Failure Patients Complicated with Hyponatremia

Objective To explore the influence of hyponatremia on older chronic heart failure and effective prevention and control measures.Methods We retrospectively analysed 126 old congestive heart failure patients over 60 in our hospital from January 2006 to June 2011,including 59 patients with hyponatremia(hyponatremia group)and 67 patients with normal blood sodium(control group).We compared the mortality,heart failure grade and the concentration of sodium blood between the two groups,and applied high permeability saline to correct hyponatremia and improve the curative effect of heart failure.Results The mortality of hyponatremia group was significantly higher than the control group(P0.01).The blood sodium levels of patients in moderate and severe heart failure groups were lower than light and medium heart failure group(P0.01).On the basis of conventional treatment including inhalating oxygen,giving cardiotonic,diuresis,and lessen the cardiac afterload,giving high-osmolar sodium chloride injection shortened the recover time of cardiac function.Conclusions For old chronic heart failure patients,the higher the level of heart failure and the lower the serum sodium level,the higher the mortality.Hyponatremia and mortality have a significant relationship.For the elderly patients with chronic heart failure in treatment process,we should regularly monitor the blood sodium concentration,reasonable use diuretics,so that early detection and correction hyponatremia,improve the success rate of chronic heart failure treatment.The high permeability sodium chloride injection can rapidly correct hyponatremia and significantly improve heart function.