厄贝沙坦联合卡托普利治疗心力衰竭疗效观察和护理方法.docVIP

厄贝沙坦联合卡托普利治疗心力衰竭疗效观察和护理方法 　　【摘要】目的：观察探讨厄贝沙坦联合卡托普利治疗心力衰竭的临床疗效和护理方法，总结其临床价值。方法：选自我院自2007年1月至2010年12月收治的心力衰竭患者100例，随机将其分为观察组（厄贝沙坦联合卡托普利治疗）和对照组（单纯卡托普利治疗）各50例，并进行针对性的护理干预，在治疗8个月后，观察两组在心胸比、左室舒张末期内径、左室收缩末期内径、左室射血分数（LVEF）、心功能分级，且在治疗期间检查患者的血压、肝肾功能、电解质等。结果：观察组左室舒张末期内径、左室收缩末期内径、左室射血分数（LVEF）对比对照组单用卡托普利治疗，效果显著，观察组的总有效率为70.0%，比对照组的总有效率26.0%，两组对比差异显著(P0.05)，具有统计学意义。结论：厄贝沙坦联合卡托普利治疗心力衰竭疗效显著，明显优于卡托普利单纯治疗效果，在积极治疗的同时，掌握老年心衰特点、实施针对性护理措施，对老年心衰的临床诊治及预后有重要的临床意义。 　　【关键词】厄贝沙坦；卡托普利；心力衰竭 　　 　　Lrbesartan combined with captopril treatment of heart failure observation and care 　　Zeng Min 　　Fushun County, Sichuan Province, Fushun 643200, Sichuan Peoples Hospital 　　【Abstract】Objective: To investigate the effects of irbesartan combined with captopril treatment of heart failure clinical efficacy and care to summarize the clinical value. Methods: From our hospital from January 2007 to December 2010 100 patients admitted with heart failure were randomly divided into observation group (irbesartan combined with captopril treatment) and control group (pure Ka Tuopu Li treatment), 50 patients, and through targeted intervention, after 8 months of treatment were observed in the cardiothoracic ratio, left ventricular end diastolic diameter, left ventricular end systolic diameter, left ventricular ejection fraction (LVEF), functional class, and during the inspection in the treatment of blood pressure, kidney function, electrolytes. Results: The left ventricular end diastolic diameter, left ventricular end systolic diameter, left ventricular ejection fraction (LVEF) compared the control group treated with captopril alone, the effect is significant, the observation group, the total effective rate was 70.0%, compared with the control The total effective group 26.0%, compared the two groups significantly different (P 0.05), with statistical significance. Conclusion: Irbesartan combined with captopril treatment of heart failure a significant effect, significantly better than captopril treatment alone, in th