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缬沙坦治疗慢性心力衰竭的疗效观察
引用本文:陈兰.缬沙坦治疗慢性心力衰竭的疗效观察[J].中国药房,2010(24):2253-2255.
作者姓名:陈兰
作者单位:海南东方市人民医院,东方市572600
摘    要:目的:观察缬沙坦对慢性心力衰竭(CHF)患者心功能的疗效。方法:选择CHF患者113例,随机分为2组,对照组采用常规治疗方案,观察组在此基础上加用缬沙坦。观察2组患者治疗前后心功能分级、左室舒张末内径(LVIDD),每博量(SV),每分心排量(CO),左心室射血分数(LVEF)及6min步行试验距离。结果:观察组心功能分级好转情况优于对照组(P<0.05);LVEF、SV、CO均有所增加,LVIDD缩小,与对照组比较差异有统计学意义(P<0.05);6min步行试验距离明显长于对照组(P<0.05)。结论:联合缬沙坦治疗CHF患者明显优于常规治疗,且可显著改善其预后。

关 键 词:缬沙坦  慢性心力衰竭  血管紧张素

Clinical Efficacy of Valsanan in the Treatment of Chronic Heart Failure
CHEN Lan.Clinical Efficacy of Valsanan in the Treatment of Chronic Heart Failure[J].China Pharmacy,2010(24):2253-2255.
Authors:CHEN Lan
Institution:CHEN Lan(Dongfang Municipal People's Hospital of Hainan Province,Dongfang 572600,China)
Abstract:OBJECTIVE:To investigate effect of valsanan on heart function in patients with chronic heart failure(CHF).METHODS:A total of 113 CHF patients were assigned into 2 groups.Both group received routine therapy and observation group were additionally treated with valsanan.Clinical efficacies of 2 groups before and after treatment were observed in terms of cardiac function classification,LVIDD,SV,CO,LVEF and 6 min walking test.RESULTS:In observation group,the incidence of improvement of the cardiac function was higher than in control group(P0.05);the level of LVEF was increased significantly while LVEDD decreased,there were statistical significance in difference between 2 groups(P0.05);the distance of 6 min walking test was obviously longer than in control group(P0.05).CONCLUSION:Valsanan plus routine therapy is better than routine therapy alone in the treatment of chronic heart failure with good prognosis.
Keywords:Valsartan  Chronic heart failure  Angiotensin
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