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目的 对心力衰竭并心律失常患者实施针对性护理干预效果进行研究。方法 选择我院于2018年1月至2019年5月收治的90例心力衰竭并心律患者为研究对象,随机均分两组,研究组与对照组各45例。对照组患者行常规护理干预,研究组患者行针对性护理干预,记录并对比两组患者临床治疗疗效(显效、有效、无效)、心功能改善情况(包括LVESD、LVEDD、LVEF等几项指标)、生活质量评分(社会限制、情绪控制、症状改善、体力限制)等。结果 护理后研究组患者LVEF、LVEDD、LVESD等各项心功能指标水平改善效果均明显较对“,”Objective To study the effect of targeted nursing intervention in patients with heart failure and arrhythmia.Methods Ninety patients with heart failure and heart rhythm were selected from January 2018 to May 2019,randomly divided into two groups,the study group was conducted in 45 cases each from the control group.Patients in the control group received routine nursing intervention,patients in the study group underwent targeted nursing intervention,recorded and compared the clinical therapeutic efficacy(significant,effective,ineffective),cardiac function improvement(including LVESD、LVEDD、LVEF and other indicators),quality of life score(social restrictions,emotional control,symptom improvement,physical limitations)of the two groups.Results After nursing,the improvement effect of LVEF、LVEDD、LVESD and other cardiac function indexes in the study group was significantly better than that in the control group(P<0.05).Compared with the control group,the improvement of symptoms,physical restriction,emotional control,social restriction and other quality of life index scores were significantly better(P<0.05).The total effective rate of clinical treatment and nursing satisfaction in the study group were significantly better than those in the control group(P<0.05).Conclusion It can improve the quality of life and myocardial function of patients with heart failure and arrhythmia,and help patients achieve the desired results,promote good prognosis.