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氯沙坦治疗慢性充血性心力衰竭临床随机对照研究

The Clinical Randomly Comparative Study of Treatment of Cases of Chronic Congestive Heart Failure with Losartan
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摘要 目的:研究氯沙坦用于治疗慢性充血性心力衰竭的疗效。方法:采用随机对照分组研究,对照组87例给予标准治疗包括利尿剂、ACEI、β受体阻滞剂、阿斯匹林及/或洋地黄等;治疗组88例在此基础上加用氯沙坦片25~50mg/d,总疗程6个月,比较两组临床及心功能改善情况。结果:治疗组总有效率90.91%,对照组总有效率77.01%,两组比较有显著性差异(P<0.05)。治疗前后两组SV及LVEF值均有较大改善,组间比较差异显著(P<0.05)。结论:慢性充血性心力衰竭在综合治疗基础上加用AngⅡ受体拮抗剂氯沙坦,可取得更好的疗效,而副作用并无明显增加。 Objectives:To study effect of Losartan on chronic congestive heart failure. Methods: 175 patients were randomly divided into two groups87 patients were in the control group treated by normal medicine such as diuretic, ACEI,β-receptor inhibitor, aspirin or digitalis88 patients were in the experimental group treated by normal medicine mentioned above plus Losartan 25-50mg/d produced by MSD Pbarmaceutical Co L1d for 6 months. Results: The effective ratios were 90.91% for the experimental group, and 77.01% for the basic group There was obviously difference between the two groups ( P 〈 0. 05 )SV and I,VEF were improved greatly after treatment in both two groups( P 〈 0.05 ).Conclusions: Chronic congestive heart failure can be improved greatly by basic treatment plus Ang Ⅱ-receptor inhibitor Losartan but without obvious side-effects.
作者 张加力
出处 《四川省卫生管理干部学院学报》 2005年第4期248-250,共3页 Journal of Sichuan Continuing Education College of Medical Sciences
关键词 氯沙坦 治疗 慢性充血性心力衰竭 Losartan Treatment Chronic congestive heart failure
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参考文献11

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