糖尿病合并心力衰竭的临床特点及治疗

The Clinical Characteristics and Treatment of Diabetes Complicated with Heart Failure

目的探讨糖尿病合并心力衰竭患者的临床特点与治疗方法。方法对照组给予常规治疗,实验组给予卡维地洛治疗,对比分析两组患者的临床疗效。结果对照组、实验组总有效率分别为67.86%、89.66%,两组差异存在统计学意义(P<0.05);实验组治疗后心功能分级、LVEF、LVESD及LVEDD等改善更明显,与对照组相比,差异存在统计学意义(P<0.01)。结论糖尿病合并心力衰竭常见于老年群体,易伴有多种危险因素,病死率高,给予卡维地洛治疗,可取得理想的疗效,有效改善患者的心功能。

Objective To investigate the clinical characteristics and treatment methods of diabetic patients complicated with heart failure. Methods The control group was given conventional treatment, the experimental group was given carvedilol treatment, compared the clinical efficacy of the two groups. Results In the control group, the experimental group the total effective rate were 67.86%, 89.66%, statistically significant differences between the two groups （P〈0.05）; in experimental group after treatment, heart function classification, LVEF, LVESD and LVEDD improved significantly, compared with the control group, the difference had statistical significance （P〈0.01）. Conclusion Diabetes mellitus complicated with heart failure is common in the elderly group, easily accompanied by a variety of risk factors, high mortality, carvedilol treatment effect, can make the ideal, improve heart function in patients with.