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大剂量厄贝沙坦治疗老年慢性心力衰竭64例疗效观察

Efficacy observation of high-dose irbesartan in treatment of chronic heart failure 64 cases
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摘要 目的:研究分析大剂量厄贝沙坦治疗老年慢性心力衰竭(CHF)的疗效。方法:将128例老年CHF患者随机分为常规剂量组和大剂量组各64例,在同样常规治疗基础上,常规剂量组初始剂量为75mg/d,1周后加至150mg/d,后维持该剂量治疗。大剂量组初始剂量为75mg/d,1周后加倍,直到450mg/d,后维持该剂量治疗。观察分析治疗前后患者症状体征等相关指标。结果:大剂量组总有效率为96.9%,常规剂量组总有效率为78.1%,两组比较,差异具有统计学意义(P<0.01或P<0.05)。结论:大剂量厄贝沙坦治疗老年CHF安全且更为有效。 Objective: To research and analyze the efficacy of high-dose irbesartan in the treatment of chronic heart failure (CHF). Methods: 128 elderly patients with CHF were randomly divided into two groups, based on the same conventional treatment, conventional-dose group initial dose of 75 mg/d, a week later added to 150 mg/d, unchanged after the dose. High-dose group initial dose of 75 mg/d, doubling after a week, until 450 mg/d, unchanged after the dose. The signs and symptoms in patients before and after treatment and other related indicators were observed and analyzed. Results: high-dose group, 64 patients with a total effective rate was 96.9%; conventional-dose group, the total effective rate was 78.1%. The two groups had statistical significance (P0.01 or P0.05). Conclusion: High-dose irbesartan treatment of elderly CHF is safe and more effective.
作者 肖海嗣
出处 《中国当代医药》 2011年第30期37-38,共2页 China Modern Medicine
关键词 老年慢性心力衰竭 厄贝沙坦 大剂量 疗效 Chronic heart failure Irbesartan Dose Effect
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