中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
23期
58-59,110
,共3页
慢性心力衰竭%急性加重%血压%近期疗效
慢性心力衰竭%急性加重%血壓%近期療效
만성심력쇠갈%급성가중%혈압%근기료효
Chronic heart failure%Acute exacerbation%Blood pressure%Short-term curative effect
目的：探讨慢性心力衰竭患者急性加重时血压水平控制对近期疗效的影响。方法随机选取2011年5月—2014年5月在该院治疗的慢性心力衰竭急性加重期患者90例，随机将患者按收缩压水平分为实验组(收缩压80~89 mmHg)、对照组(收缩压90~140 mmHg)，给予强心利尿、血管扩张药物等治疗。观察及比较两组患者治疗前后的呼吸频率、心率和血氧饱和度等情况，及近期疗效。结果实验组患者的总有效率为86.7%，明显高于对照组的66.7%(P<0.05)。两组患者治疗后呼吸频率、心率和血氧饱和度均有不同程度改善，但实验组治疗后临床指标改善更为显著(P<0.05)。结论慢性心力衰竭患者急性加重时血压水平在一定范围内控制越低，临床症状改善越快，近期临床疗效越好。
目的：探討慢性心力衰竭患者急性加重時血壓水平控製對近期療效的影響。方法隨機選取2011年5月—2014年5月在該院治療的慢性心力衰竭急性加重期患者90例，隨機將患者按收縮壓水平分為實驗組(收縮壓80~89 mmHg)、對照組(收縮壓90~140 mmHg)，給予彊心利尿、血管擴張藥物等治療。觀察及比較兩組患者治療前後的呼吸頻率、心率和血氧飽和度等情況，及近期療效。結果實驗組患者的總有效率為86.7%，明顯高于對照組的66.7%(P<0.05)。兩組患者治療後呼吸頻率、心率和血氧飽和度均有不同程度改善，但實驗組治療後臨床指標改善更為顯著(P<0.05)。結論慢性心力衰竭患者急性加重時血壓水平在一定範圍內控製越低，臨床癥狀改善越快，近期臨床療效越好。
목적：탐토만성심력쇠갈환자급성가중시혈압수평공제대근기료효적영향。방법수궤선취2011년5월—2014년5월재해원치료적만성심력쇠갈급성가중기환자90례，수궤장환자안수축압수평분위실험조(수축압80~89 mmHg)、대조조(수축압90~140 mmHg)，급여강심이뇨、혈관확장약물등치료。관찰급비교량조환자치료전후적호흡빈솔、심솔화혈양포화도등정황，급근기료효。결과실험조환자적총유효솔위86.7%，명현고우대조조적66.7%(P<0.05)。량조환자치료후호흡빈솔、심솔화혈양포화도균유불동정도개선，단실험조치료후림상지표개선경위현저(P<0.05)。결론만성심력쇠갈환자급성가중시혈압수평재일정범위내공제월저，림상증상개선월쾌，근기림상료효월호。
Objective To investigate the influence of blood-pressure control for patients with chronic heart failure undergoing acute exacerbation on short-term outcome. Methods 90 patients with chronic heart failure undergoing acute exacerbation who were admitted to our hospital during May 2011 and May 2014 were randomly into experimental group (SBP 80~89mmHg) and control group(SBP 90~140 mmHg) according to systolic blood pressure (SBP). Cardiotonic and diuretic drugs and vasodilatory drugs were used for their treatment. Respiratory frequency, heart rate, and blood oxygen saturation before and after treatment, and short-term outcomes were observed and compared between the two groups. Results The total effective rate of patients in the experimental group was 86.7%, significantly higher than that in the control group of 66.7%(P<0.05). The respiratory frequency, heart rate and blood oxygen saturation in two groups after treatment were both improved, but those in the experimental group after treatment was improved more significantly(P<0.05). Conclusion Lower blood-pressure in a specific range in patients with chronic heart failure undergoing acute exacerbation can lead to better improvement of clinical symptoms and better short-term outcome.
