慢性心力衰竭住院患者合并肾功能不全80例临床分析

目的 观察分析慢性心力衰竭住院患者合并肾功能不全的临床治疗效果.方法 回顾性分析我院2004年1月～2008年6月间收治的80例慢性心力衰竭合并肾功能不全住院患者,对患者进行心功能分级,使用正性肌力药物、血管紧张素转化酶抑制剂(ACEI)及血管紧张素拮抗剂(ARB)类药物、β受体阻滞剂等药物治疗.结果 心功能Ⅳ级合并肾功能不全的患者的预后明显要比心功能Ⅲ级合并肾功能不全的患者差,具有显著性差异(P<0.05).结论 肾功能不全与心力衰竭的预后密切相关,心力衰竭合并肾功能不全患者治疗时要合理地选择适当的药物,在药物的应用过程当中能够预见可能出现的不良反应,严密监测患者病情,努力维护肾脏功能.

Clinical Analysis of 80 Cases with Chronic Heart Failure Patients with Renal Insufficiency Combined

Objective To observe and analyze the clinical treatment effect of chronic heart failure patients with renal insufficiency:Methods Retrospective analysis our hospital inter-treated 80 patients with chronic heart failure patients complicated renal insufficiency in January 2004 ～ June 2008 cardiac function of patients with grade,the use of inotropie agent drugs,angiotensin converting enzyme inhibitors and adrenergic receptor binder chugs, 15-blocker treatment and other methods. Results Cardiac function grade Ⅳ renal dysfunction in the patient's prognosis than obvious cardiac function grade Ⅲ renal dysfunction patients worse,it is significant difference (P< 0.05). Conclusion Renal insufficiency and prognosis of heart failure is closely related to renal dysfunction in heart failure patients to a reasonable selection of appropriate drugs,the drug application process can foresee possible adverse reactious,to closely monitor patient and make efforts to preserve renal function.