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目的:探讨血压控制水平对慢性心力衰竭急性加重患者临床疗效的影响。方法:回顾性分析龙川县老隆镇卫生院2013年1月至2016年1月共98例慢性心力衰竭患者,根据收缩压水平分为观察组和对照组各49例。对照组收缩压为90~140 mm Hg,观察组患者收缩压为80~89 mm Hg,均给予强心利尿、血管扩张药物等进行治疗,对比两组患者的临床疗效。结果:观察组患者总有效率高于对照组患者,差异具有统计学意义(P<0.05);观察组患者呼吸频率、心率、血氧饱和度改善程度优于对照组患者,差异具有统计学意义(P<0.05)。结论:慢性心力衰竭患者急性加重时血压在一定范围内越低,临床症状改善越明显,临床疗效越好。
Objective: To investigate the effect of blood pressure control on clinical efficacy in patients with acute exacerbation of chronic heart failure. Methods: A retrospective analysis was conducted in 98 patients with chronic heart failure from January 2013 to January 2016 in Longsheng County Longlong Hospital. According to the systolic blood pressure level, 49 patients were divided into observation group and control group. In the control group, systolic blood pressure was 90-140 mm Hg, and systolic blood pressure was 80-89 mm Hg in the observation group. All patients were given cardiac diuresis and vasodilator drugs for treatment. The clinical efficacy of the two groups was compared. Results: The total effective rate in the observation group was higher than that in the control group (P <0.05), and the improvement rate of respiratory rate, heart rate and oxygen saturation in the observation group was better than that in the control group, the difference was statistically significant (P <0.05). Conclusion: In patients with chronic heart failure acute exacerbation of blood pressure within a certain range of lower, the more obvious improvement of clinical symptoms, the better clinical efficacy.