醛固酮拮抗剂螺内酯在治疗心力衰竭患者中临床疗效观察.docVIP

醛固酮拮抗剂螺内酯在治疗心力衰竭患者中临床疗效观察 　　【摘要】 目的：探究醛固酮拮抗?┞菽邗ピ谥瘟菩牧λソ呋颊咧械牧俅残Ч?。方法：选取2016年2月-2017年2月来本院治疗并且确诊为心力衰竭的患者130例。按照随机数字表法将其分为研究组和对照组，各65例。对照组采用常规治疗方法，研究组在对照组基础上加用醛固酮拮抗剂螺内酯，两组治疗时间均为6个月。比较两组治疗前后的血钾、肌酐水平及心功能指标，包括心率（heart rate，HR）、左心室舒张末期内径（left ventricular end diastolic diameter，LVEDD）、心排出量（cardiac output，CO）、左心室收缩末期内径（left ventricular end-systolic dimension，LVESD）、左室射血分数（left ventricular ejection fractions，LVEF）；比较两组治疗效果。结果：研究组患者治疗总有效率为93.85%，显著高于对照组的76.92%（P0.05）；治疗后，研究组血钾水平显著高于对照组（P0.05）。治疗前，两组患者CO、LVEF、LVESD、LVEDD比较差异均无统计学意义（P0.05）；治疗后，研究组患者CO、LVEF显著高于对照组（P0.05），且研究组LVESD、LVEDD均显著小于对照组（P0.05）。结论：醛固酮拮抗剂螺内酯能够有效治疗心力衰竭，恢复心脏功能，值得在临床上推广。 　　【关键词】 醛固酮拮抗剂螺内酯； 治疗有效率； 心脏功能； 心力衰竭 　　Clinical Efficacy of Aldosterone Antagonists Antisterone in Treatment of Patients with Heart Failure/TANG Haiyang.//Medical Innovation of China，2018，15（01）：126-129 　　【Abstract】 Objective：To explore the clinical effect of aldosterone antagonists antisterone in treatment of patients with heart failure.Method：A total of 130 patients who were treated and diagnosed with heart failure in our hospital from February 2016 to February 2017 were selected，according to the random number table method，they were divided into study group and control group，65 cases in each group.The control group was treated with conventional therapy，and study group was treated with aldosterone antagonists antisterone on the basis of control group，they were treated for 6 months.The indexes of cardiac function，blood potassium and creatinine before and after treatment between two groups were compared，included heart rate（HR），left ventricular end diastolic diameter（LVEDD），cardiac output（CO），left ventricular end systolic diameter（LVESD），the left ventricular ejection fraction（LVEF），and the clinical efficacy of two groups were compared.Result：The total effective rate of treatment in study group was 93.85%，which was significantly higher than 76.92% of control group（P0.05），after treatment，the levels of blood potassium in study group was signifi