CAJ | 학술논문

目的：探讨住院期间强化降压治疗对慢性心力衰竭急性加重患者的临床疗效的影响。方法在规范治疗的基础上，根据收缩压控制水平将143例CHF患者分为低血压水平组(80mmHg~100mmHg)、中血压水平组(101mmHg~120mmHg)和高血压水平组(121mmHg~140mmHg)，观察不同血压水平CHF患者的临床疗效。结果显效、有效、和无效，恶化率在低血压水平组分别为46.8%(29/62)、45.2%(28/62)、8.1%(5/62)，中血压水平组为27.3%(18/66)、54.5%(36/66)和18.2%(12/66)，高血压水平组为12.5%(8/64)、50.0%(32/64)和37.5%(24/64)。结论CHF患者急性加重时血压水平进行强化降压治疗，在一定范围内控制越低，临床症状改善越快，近期疗效越好。
목적：탐토주원기간강화강압치료대만성심력쇠갈급성가중환자적림상료효적영향。방법재규범치료적기출상，근거수축압공제수평장143례CHF환자분위저혈압수평조(80mmHg~100mmHg)、중혈압수평조(101mmHg~120mmHg)화고혈압수평조(121mmHg~140mmHg)，관찰불동혈압수평CHF환자적림상료효。결과현효、유효、화무효，악화솔재저혈압수평조분별위46.8%(29/62)、45.2%(28/62)、8.1%(5/62)，중혈압수평조위27.3%(18/66)、54.5%(36/66)화18.2%(12/66)，고혈압수평조위12.5%(8/64)、50.0%(32/64)화37.5%(24/64)。결론CHF환자급성가중시혈압수평진행강화강압치료，재일정범위내공제월저，림상증상개선월쾌，근기료효월호。
Objective Antihypertensive therapy on the clinical ef icacy of acute exacerbation of chronic heart failure patients to explore the impact of strengthening during hospitalization. Methods On the basis of the standard treatment, According to the level of systolic blood pressure control in patients with CHF wil be divided into 143 cases of hypotension level group (80~100mmHg), the blood pressure level group (101~120mmHg) and hypertension level group (121~140mmHg), Clinical observation of dif erent blood pressure levels in patients with CHF. Results Markedly ef ective, ef ective, and inef ective, the deterioration rate was 46.8%(29/62) respectively, hypotension level group, 45.2%(28/62), 8.1%(5/62), the blood pressure level group was 27.3%(18/66), 54.5%(36/66) and 18.2%(12/66), high blood pressure level group was 12.5%(8/64), 50.0%(32/64) and 37.5%(24/64). Conclusion Blood pressure levels in patients with acute CHF exacerbation strengthen antihypertensive treatment, the lower within a certain range control, improvement of clinical symptoms sooner, the bet er short-term effect.