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培垛普利联合螺内酯治疗慢性心力衰竭的临床疗效观察
引用本文:颜永进,陆洋,张跃明. 培垛普利联合螺内酯治疗慢性心力衰竭的临床疗效观察[J]. 现代医药卫生, 2011, 27(4): 517-519
作者姓名:颜永进  陆洋  张跃明
作者单位:南通大学附属海安医院心内科,江苏,南通,226600
摘    要:目的:观察培垛普利联合螺内酯对慢性心力衰竭(CHF)患者心功能和BNP的影响.方法:84例CHF患者随机分为治疗组和对照组,在常规治疗病情基本稳定的基础上,加用培垛普利4 mg,1次,日和螺内酯20 mg.1次/日.观察治疗前后心功能、左室射血分数(EF)、血清脑钠索(BNP)测定及不良反应等.结果:治疗组的心功能疗效总有效率为71.4%.对照组为52.4%;两组患者用药后的左室EF值均较用药前有明显的提高,其提高值治疗组更显著.血清BNP明显下降(P<0.01).结论:长期应用培垛普利与小剂量螺内酯联合治疗慢性心衰远期临床疗效显著,且使用安全.

关 键 词:培垛普利  螺内酯  慢性心力衰竭  BNP

Clinical effects observation of perindopril combined with spironolactone in treating chronic heart failure
YAN Yong-jin , LU Yang , ZHANG Yue-ming. Clinical effects observation of perindopril combined with spironolactone in treating chronic heart failure[J]. JOURNAL OF MODERN MEDICINE & HEALTH, 2011, 27(4): 517-519
Authors:YAN Yong-jin    LU Yang    ZHANG Yue-ming
Affiliation:YAN Yong-jin,LU Yang,ZHANG Yue-ming(Department of Cardiology,Haian Hospital Affiliated to Nantong University,Nantong,Jiangsu 226600,China)
Abstract:Objective:To observe the effects of combination using of perindopril and spironolactone on heart function and brain natriuretic peptide(BNP)of chronic heart failure(CHF).Methods:84 patients with CHF were randomly divided into treatment group and control group.On the basis of conventional therapy,the treatment group was added with perindopril(4 mg once daily) and spironolactone(20 mg once daily).The heart function,left ventricle ejection fraction,serum BNP and adverse effects were observed before and after t...
Keywords:Perindopril  Spironolactone  Chronic heart failure  Brain natriuretic peptide  
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