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目的探讨肘静脉压测定在充血性心力衰竭(Congestive Heart Failure)治疗中的作用。方法选取充血性心力衰竭患者100例,随机分为两组,A组根据临床症状和体征及心功能,血脑利尿钠肽水平指导临床用药,给予相应的强心利尿,扩血管及拮抗神经内分泌激活治疗。B组根据肘静脉压测定值评估心功能指导用药,同样给予上述疗法,但用药时机,剂量尤其在补液、利尿方面不同。结果 B组患者心功能改善程度明显快于A组(P<0.05),B组患者较A组患者住院时间缩短,死亡率下降。结论采用肘静脉压测定评估心功能,方法简单、实用,特别是补液、利尿方面彰显指导作用,对药物疗效及心功能情况也有相应及时地反映。
Objective To investigate the role of elbow venous pressure in the treatment of congestive heart failure. Methods One hundred patients with congestive heart failure were randomly divided into two groups. Group A was given clinical medication according to clinical symptoms and signs, cardiac function and blood brain natriuretic peptide level. Corresponding cardiac diuretic, vasodilator and antagonism of neuroendocrine Activate treatment. Group B according to the measured value of the elbow venous pressure assessment of cardiac function medication, also given the above treatment, but the timing of the medication, the dose, especially in the rehydration, diuretic aspects. Results The improvement of cardiac function in group B was faster than that in group A (P <0.05). The hospitalization time and the mortality in group B were shorter than those in group A. Conclusions The measurement of ventricular pressure by elbow venous pressure is an effective method to evaluate cardiac function. The method is simple and practical, especially for rehydration and diuresis. It also has a timely and appropriate response to the curative effect and cardiac function.