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目的:研究高位硬膜外阻滞(HEA)治疗心脏瓣膜病心衰的作用。方法:对19例心脏瓣膜病心衰患者进行HEA治疗28 d,观察该方法的疗效。结果:心脏瓣膜病心衰患者心功能改善的总有效率为94.74%,左室射血分数(LVEF)明显增加(P<0.05),左室舒张末期内径(LVEDD)明显缩小(P<0.05),N-端脑利钠肽前体(NT-pro BNP)水平明显下降(P<0.05)。结论:HEA治疗心脏瓣膜病心衰效果显著。
Objective: To study the effect of high epidural block (HEA) on heart valve disease in patients with heart failure. Methods: Nineteen patients with heart valvular heart failure were treated with HEA for 28 days. The curative effect of this method was observed. Results: The total effective rate of heart function improvement in patients with heart valvular heart disease was 94.74%, the left ventricular ejection fraction (LVEF) increased significantly (P <0.05) and the left ventricular end diastolic diameter (LVEDD) decreased significantly (P <0.05) , N-terminal brain natriuretic peptide precursor (NT-pro BNP) levels were significantly decreased (P <0.05). Conclusion: HEA is effective in treating heart valvular heart failure.