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冻干重组人脑利钠肽联合小剂量呋塞米治疗急性心肌梗死合并心力衰竭患者的疗效及心功能分析 被引量:5

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摘要 目的分析冻干重组人脑利钠肽(rhBNP)联合小剂量呋塞米在急性心肌梗死(AMI)合并心力衰竭(HF)患者中的治疗价值.方法选取2019年1月至2020年3月我院AMI合并HF患者91例进行回顾性研究,均予以常规对症治疗,对照组(45例)予以小剂量呋塞米治疗,研究组(46例)予以rhBNP联合小剂量呋塞米治疗,比较两组疗效、主要不良心血管事件(MACE)发生率、治疗前及治疗5d后基本体征[收缩压(SBP)、心率(HR)、血氧饱和度(SpO2)]及心功能[左心室收缩末期内径(LVESD)、左心室射血分数(LVEF)与左心室舒张末期内径(LVEDD)]水平.结果研究组总有效率93.48%较对照组75.56%升高(P<0.05);治疗5d后研究组SBP、HR水平低于对照组,SpO2水平较对照组升高(P<0.05);治疗5d后研究组LVESD与LVEDD水平低于对照组,LVEF水平较对照组升高(P<0.05);研究组MACE发生率较对照组降低(P<0.05).结论rhBNP联合小剂量呋塞米可提高AMI合并HF患者治疗效果,改善患者基本体征,促进心功能恢复,还可降低MACE发生风险.
作者 林祯乐
出处 《心血管病防治知识(学术版)》 2021年第8期13-15,共3页 Prevention and Treatment of Cardiovascular Disease
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