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目的探讨呋塞米与托拉塞米对急性心力衰竭伴水肿患者肾功能的影响效果。方法收集我院2012年8月~2015年8月入院的170例急性心力衰竭伴水肿患者随机分为两组。对照组患者给予常规呋塞米治疗，实验组患者给予托拉塞米治疗，比较两组患者尿量、血肌酐、血钾及血钠等肾功能指标。结果实验组患者治疗后尿量水平与对照组行组间比较差异显著，存在显著性差异，具有统计学意义(<0.01)；实验组患者治疗后血肌酐水平与对照组行组间比较差异明显，存在明显性差异，具有统计学意义(<0.05)。结论托拉塞米较呋塞米对急性心力衰竭伴水肿患者肾功能的影响效果显著。“,”Objective To investigate the effects of furosemide and torasemide on patients with acute heart failure and renal edema.Methods 170 cases of acute heart failure with edema in our hospital from August 2012 to August 2015 were randomly divided into two groups.Patients in control group were treated with routine of furosemide in the treatment,the patients in the experimental group treated with torasemide treatment,compared two groups of patients with urinary,serum creatinine,serum potassium and blood sodium marker of renal function.Results Patients in the experimental group after treatment,urine volume level and control group with a significant difference between,there are significant differences,with statistical significance ( <0.01);blood creatinine level after treatment,the patients in the experimental group and the control group significant differences between the two,there was a significant difference,with traditional significance ( <0.05).Conclusion Torasemide and furosemide on acute heart failure with renal function in patients with edema effect significant.