心肌梗死后急性心力衰竭临床治疗分析

Clinical analysis on acute heartfailure after myocardial infarction

目的:探讨急性心肌梗死后急性心力衰竭的治疗方法,提高其治疗效率,降低病死率。方法:观察组采用依那普利为主进行治疗,对照组采用缬沙坦为主进行治疗,比较两组别超声检测:两组患者治疗前后左室射血分数(LVEF)和左室后壁(LVP)、室间隔厚度(IVS)、左室舒张末期内径(LVDD)。结果:经过12个月的治疗,两组患者心脏彩超四项指标比治疗前均有明显变化,观察组效果更明显,组间比较差异具有统计学意义(P<0.05)。结论:依那普利治疗心肌梗死后急性心力衰竭疗效确切,值得临床借鉴。

Objective：To investigate the treatment methods of acute heartfailure after myocardial infarction,improve the treatment efficiency,reduce mortality.Methods：The observation group treated mainly by enalaprilat and the control group treated mainly by valsartan,compared two categories ultrasonic testing：two groups of patients before and after the treatment left ventricular ejection fraction（LVEF） and left ventricular wall（LVP）,after septal thickness（IVS）,left ventricular end-diastolic diameter（LVDD）.Results：After 12 months of therapy,two groups of patients heart colour to exceed four indexes were obviously than before treatment,and observation group effect more apparent changes,between groups comparative differences,statistically significant difference（P0.05）.Conclusion：After myocardial infarction enalaprilat treatment definite effect acute heart failure,worthy of clinical reference.