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时间:2017-12-07
《氯沙坦联合螺内酯治疗对妊高症产后合并心衰患者心功能及血浆脑利钠肽的影响》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、医学信息2010年o4月第23卷第4期MedicalInformation.Apr.2010.Vo1.23.No.4·论著·氯沙坦联合螺内酯治疗对妊高症产后合并心衰患者心功能及血浆脑利钠肽的影响王慧玲,任艳芳,杨君(新乡医学院第一附属医院妇产科,河南卫辉453100)摘要:目的观察氯沙坦联合螺内酯治疗妊高症产后合并心衰患者前后血浆脑钠肽与醛固酮的变化及临床意义。方法96倒妊娠高血压综合征产后合并心力衰竭患者均符合妊娠高血压性心脏病的诊断标准。按入院时间分为3组:氯沙坦单纯治疗组(L~-)48例,氯沙坦和螺内酯联合治疗组(c组)48例。两组均于治疗前和治疗6个月
2、时行心脏超声检查;两组于入院后(9±1)天及发病后3月、6月和12月分剐测定血浆脑钠肽与醛固酮的浓度。结果与L组比较,C组血浆脑钠肽水平下降程度更明显(P<0.05)。左室收缩和舒张末内径减小程度更明显(P3、onofPatientsWithPregnancy-AssociatedHypertensionCombinedHeartFailureAfterChildbearingWANGHui-ling,RENYan-fang,YANGJun(gynecologyandobstetricsdepartmentfirstaffiliatedhospitalXingxiangmedicalschool,Weihui453100,China)AbstractObjectiveToresearchtheefectofSpironolactoneandLosartanonthe4、levelsofplasmaBrainNatriureticPeptide(BNP)andCardiacFunctionofPatientsWithPregnancy-AssociatedHypertensionCombinedHeartFailureafterchildbearing.MethodsSixtypatientswithPregnancy-AssociatedHypertensionCombinedHeartFailureafterchildbearingwererandomlydividedintotwogroups:losartangroup5、(Lgroup,n=48)uselosartanonly,andlosartancombinedwithspironolactonegroup(Cgroup,n=48).Eehocardiographicindicesweremeasured6monthsbeforeandaftertreatmenLkvelofPlasmaBNPwasdetectedin(9±1)dayand3monthsand6monthsafterthetreatment.Results:ComparedwithLgroup,levelofBNPwassignificantlydecre6、asedinCgroup,EchocardiographicindicesweresignificantlyimprovedinCgroupthaninLgroup.CondusionTotreatpatientswithpregnancy-associatedhypertensioncombinedheartfailureafterchildbearingbylosartancombinedwithspironolactone,CandecreaseplasmaBNPconcentrationsandimprovecardiacfunction.Keywor7、ds:pregnancyassocimedhypertension;heartfailure;brainnatriureticpeptide;Spironolactone;Losartan妊娠高血压综合征(妊高征)是孕产妇常见病,而妊高征患者产压综合征,血压平均值25.843.4kPa。所有患者尿蛋白均+++,水肿m后合并心力衰竭是妊高征的严重并发症,是此类患者死亡的高危因度,其中l2例患者伴有视物不清,29例患者伴有贫血。两组临床资素之一【l】。本研究分别使用螺内酯和氯沙坦对妊高症产后合并心衰料有可比性f0.05)。患者进行干预,观察治疗前后妊高征患者心功能8、及血浆脑利钠肽以上患者按照随机区组方法
3、onofPatientsWithPregnancy-AssociatedHypertensionCombinedHeartFailureAfterChildbearingWANGHui-ling,RENYan-fang,YANGJun(gynecologyandobstetricsdepartmentfirstaffiliatedhospitalXingxiangmedicalschool,Weihui453100,China)AbstractObjectiveToresearchtheefectofSpironolactoneandLosartanonthe
4、levelsofplasmaBrainNatriureticPeptide(BNP)andCardiacFunctionofPatientsWithPregnancy-AssociatedHypertensionCombinedHeartFailureafterchildbearing.MethodsSixtypatientswithPregnancy-AssociatedHypertensionCombinedHeartFailureafterchildbearingwererandomlydividedintotwogroups:losartangroup
5、(Lgroup,n=48)uselosartanonly,andlosartancombinedwithspironolactonegroup(Cgroup,n=48).Eehocardiographicindicesweremeasured6monthsbeforeandaftertreatmenLkvelofPlasmaBNPwasdetectedin(9±1)dayand3monthsand6monthsafterthetreatment.Results:ComparedwithLgroup,levelofBNPwassignificantlydecre
6、asedinCgroup,EchocardiographicindicesweresignificantlyimprovedinCgroupthaninLgroup.CondusionTotreatpatientswithpregnancy-associatedhypertensioncombinedheartfailureafterchildbearingbylosartancombinedwithspironolactone,CandecreaseplasmaBNPconcentrationsandimprovecardiacfunction.Keywor
7、ds:pregnancyassocimedhypertension;heartfailure;brainnatriureticpeptide;Spironolactone;Losartan妊娠高血压综合征(妊高征)是孕产妇常见病,而妊高征患者产压综合征,血压平均值25.843.4kPa。所有患者尿蛋白均+++,水肿m后合并心力衰竭是妊高征的严重并发症,是此类患者死亡的高危因度,其中l2例患者伴有视物不清,29例患者伴有贫血。两组临床资素之一【l】。本研究分别使用螺内酯和氯沙坦对妊高症产后合并心衰料有可比性f0.05)。患者进行干预,观察治疗前后妊高征患者心功能
8、及血浆脑利钠肽以上患者按照随机区组方法
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