Influences of milrinone combined with diuretics on the echocardiography and brain natriuretic peptide of patients with refractory heart failure
-
摘要: 目的 观察米力农联合利尿剂治疗顽固性心力衰竭的疗效及安全性.方法 顽固性心衰患者103例,采用自身前后对照法,在常规方法治疗无效后,予米力农治疗,并联合使用呋塞米等利尿剂.观察治疗前后症状、体征、血压、心率、脑钠肽(BNP),心脏超声参数及心功能指标.结果 应用米力农及利尿剂后显效33例,有效61例,无效9例,总有效率为91.3%.米力农明显改善左室收缩功能障碍,对血压心率无明显影响.结论 米力农联合利尿剂治疗能有效改善顽固性心衰的心功能.少见明显不良反应.
-
-
颜红兵. 美国成人慢性心力衰竭诊断与治疗指南 [M]. 北京:中国环境科学出版社, 2005.79. Ghanbari H, Dalloul G, Haaan R. Effectiveness of implantable cardioverter defibrillators for the primary prevention of sudden cardiac death in women with advanced heart failure:a meta analysis of randomized controlled trials [J]. Archives of Internal Medicine, 2009, (16):1500. Kurita T, Noda T, Aiba T. Cardiac resynchronization therapy to prevent life-threatening arrhythmias in patients with congestive heart failure [J]. Journal of Electrocardiology, 2011(6):736. Rossi A, Rossi G, Piacenti M. The current role of cardiac resynchronization therapy in reducing mortality and hospitalization in heart failure patients:a meta-analysis from clinical trials [J]. Heart and Vessels, 2008(4):217. Nishiguchi M, Ono S, Iseda K. Effect of vasodilation by milrinone, a phosphodiesterase Ⅲ inhibitor, on vasospastic arteries after a subarachnoid hemorrhage in vitro and in vivo:effectiveness of cisternal injection of milrinone [J]. Neurosurgery, 2010(1):158. 中华医学会心血管病学分会, 《中华心血管病杂志》编辑委员会. 慢性心力衰竭诊断治疗指南 [J]. 中华心血管病杂志, 2007, (12):1076.doi: 10.3760/j.issn:0253-3758.2007.12.002. Fuat A, Murphy J J, Hungin A P. The diagnostic accuracy and utility of a B-type natriuretic peptide test in a community population of patients with suspected heart failure [J]. British Journal of General Practice, 2006, (526):327. 姜红萍. 米力农治疗顽固性心衰36例疗效观察 [J]. 现代医药卫生, 2007(5):658.doi: 10.3969/j.issn.1009-5519.2007.05.019.
计量
- 文章访问数: 149
- HTML全文浏览量: 34
- PDF下载量: 6