补充氯化钠治疗慢性心力衰竭伴顽固性水肿的效果  

EFFECT OF SODIUM CHLORIDE IN THE TREATMENT OF CHRONIC HEART FAILURE WITH REFRACTORY DROPSY

作　　者：王学班[1] 唐芳刚[1] 

机构地区：[1]威海市文登中心医院心内科,山东文登266440

出　　处：《齐鲁医学杂志》2005年第6期499-500,共2页Medical Journal of Qilu

摘　　要：①目的观察补充氯化钠治疗慢性心力衰竭伴顽固性水肿的效果。②方法将50例慢性心力衰竭伴顽固性水肿病人随机分为治疗组(在常规治疗基础上补充氯化钠治疗)和对照组,观察病人每日尿量、体质量下降情况、心功能改善速度,出院后随访观察其心功能稳定情况。③结果治疗组住院期间尿量多,体质量下降速度快,其入出院体质量下降值明显高于对照组(t=25.65,P<0.01),住院时间较对照组显著缩短(t=14.42,P<0.01),心功能恢复较佳(χ2=6.24、4.87,P<0.05)。④结论慢性心力衰竭伴顽固性水肿在应用充足利尿剂基础上补给氯化钠对水肿消退、心功能恢复有显著疗效,可提高病人的生存质量。Objective To observe the results of sodium chloride in the treatment of chronic heart failure with refractory dropsy. Methods Fifty patients with chronic heart failure were randomly divided into treatment group and control group. For treatment group, sodium chloride was added in addition to routine therapy. Urinary output in 24 hours, body weight loss and the heart function improvement were observed. Their cardiac function was followed after discharge. Results The urinary output increased, the body weight lost fast, compared with the controls （t：=25.65, P〈0.01）. The patients in the treatment group had fewer hospital days （t=14.42, P〈0.01）, and better recovery of the cardiac function （χ^2=6.24,4. 87;P〈0.05）. Conclusion On the basis of adequate diuretics,sodium chloride supplement can help reduce swelling, restore the cardiac function and improve the survival of the patients with chronic heart failure associated refractory dropsy.

关 键 词：心力衰竭 水肿 氯化钠 药物疗法 

分 类 号：R541.6[医药卫生—心血管疾病]