The efficacy of enhanced antihypertensive therapy on the acute decompensated stage of chronic heart failure with hypertension
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摘要:
目的探讨强化降压治疗在慢性心力衰竭急性失代偿期伴高血压病的治疗中对患者住院时间、治疗效果及安全性的影响。 方法将2010年3月~2014年12月收治入院的64例慢性心力衰竭急性失代偿期伴高血压病患者随机分为观察组32例与对照组32例。对照组（标准降压组）则仅采用常规治疗，观察组（强化降压组）在常规治疗基础上应用硝酸甘油针进行强化降压治疗。观察并比较两组疗效。 结果观察组32例中显效15例，有效15例，无效2例，无死亡病例，总有效率为93.75%（30/32）；对照组32例中显效7例，有效14例，无效10例，死亡1例，总有效率为65.63%（21/32）。两组总有效率比较差异有统计学意义（x2=7.82，P < 0.01）。观察组中有2例出现低血压反应，经相应处理后症状消失。 结论对患者进行强化降压能提高治疗效果、缩短患者住院时间，是一种安全有效的方法。 -
关键词:
- 强化降压 /
- 慢性心力衰竭急性失代偿期 /
- 高血压病 /
Abstract:ObjectiveTo investigate the effect of enhanced antihypertensive therapy on the hospitalization time, the efficacy and safety of the patients with chronic heart failure with hypertension. Methods64 patients with chronic heart failure with hypertension from March 2010 to December 2014 were randomly divided into observation group and control group with 32 cases and 32 cases. The control group (standard antihypertensive group) was treated with conventional therapy alone, and the observation group (enhanced blood pressure group) was treated with nitroglycerin needle for the treatment of conventional therapy. To observe and compare the effect of the two groups, Resultsobservation group 32 cases, 15 cases markedly effective, effective in 15 cases, invalid in 2 cases, no deaths. The total effective rate was 93.75%; control group 32 cases, 7 cases markedly effective, effective in 14 cases, ineffective in 10 cases, 1 case died, the total efficiency is 65.63%. The total effective rate of the two groups was significant (χ2=7.82, P < 0.01). In the observation group, there were 2 cases ofχ hypotension, and the symptoms disappeared after treatment. ConclusionIt is a safe and effective method to improve the treatment effect and shorten the hospitalization time for patients with enhanced hypertension. -
Key words:
- Enhanced hypertension /
- acute decompensated stage /
- chronic heart failure /
- hypertension
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