摘要
目的评价充血性心力衰竭（ＣＨＦ）新的治疗措施疗效。方法把本院近３年收治１５８例重度ＣＨＦ患者（Ａ组）的临床资料，与选自１９９１年以前１５８例重度ＣＨＦ患者（Ｂ组）的临床资料配对研究。结果Ａ组的心衰缓解率明显高于Ｂ组（Ｐ＜０．０５），而心衰住院猝死率、心衰住院病死率、明显低于Ｂ组（Ｐ均＜０．０５）；Ａ组的低钠血症、低钾血症、洋地黄中毒发生率明显低于Ｂ组（Ｐ均＜０．０５）．结论应用小剂量地高辛和卡托普利、间歇有效利尿并适当补充钠钾镁等综合措施治疗ＣＨＦ，有助于提高ＣＨＦ患者的生存率。
Objective To evaluate the effect of new terapeutic measures on congestiveheart failure(CHF).Method The clinical materials of 1 58 pa-tients with severe CHF in recent 3 years (group A)were analysed and in matched paris compared withthat of 158 patients with severe CHF in our hospitalbefore 1991(group B).Results The relief rate ofCHF was significantly higher in group A than that ingroup B(P< 0.05 ),The,death rate of heart failureand sudden death in hospital was significantly lowerin group A than that in group B (P<0. 05);The in-cidinces of the hyponatremia, hypokalemia and digi-talis poisoning in group A were otwiously lower ascompared with the results in group B(P< 0. 05 ).Concluston The above findings suggest that it isbest to treat CHF by multiple measures which includ-ed small dosage of digoxin and captopril,effective in-termittent diuresis and replenishing natrium,kaliumand magnesium in quanItum satis. These measureswill improve the survival rate of patients with CHF.
出处
《现代诊断与治疗》
CAS
1996年第3期145-146,共2页
Modern Diagnosis and Treatment
