缬沙坦治疗高血压合并房颤80例疗效观察及护理  

Observation on the curative effect of Valsartan in the treatment of 80 patients with hypertension associated with atrial fibrillation and nursing care

作　　者：张新华 骆秀云 

机构地区：[1]深圳市布吉人民医院,广东深圳518112

出　　处：《齐鲁护理杂志》2011年第1期16-17,共2页Journal of Qilu Nursing

基　　金：广东省深圳市科技计划项目(编号:200603010)

摘　　要：目的:探讨缬沙坦治疗高血压合并房颤的疗效及护理方法。方法:高血压合并房颤患者80例和非房颤患者80例,分为缬沙坦组(观察组)和氨氯地平组(对照组)。观察两组患者1年内房颤复发率及用药与高血压左室肥厚的关系。比较治疗前后心脏超声参数,两组治疗前后采用多普勒超声心动图测定心功能,并观察血压(BP)和心率(HR)的变化。结果:治疗后观察组左室收缩期末内径和左室舒张期末内径显著低于对照组,左室射血分数显著高于对照组,降低血压和减慢HR的作用明显高于对照组(P<0.01)。结论:缬沙坦治疗慢性心力衰竭有效,可以改善心脏功能。Objective： To investigate the curative effect of Valsartan in the treatment of hypertension associated with atrial fibrillation and nursing methods. Methods： 80 patients with hypertension associated with atrial fibrillation and the other 80 patients with hypertension without AF were respectively taken as Valsartan treatment group and Amlodipine treatment group. The recurrence rate of atrial fibrillation within one year and the relationship between medication, and left ventricular hypertrophy of the patients with hypertension were observed in the two groups, comparing echocardiographic parameters before and after treat- ment. Results ： The diameter at the end of systole of left ventricular was significantly smaller and the ejection fraction of left ventricular was significantly higher in the observation group than those in the control group ; the effect of lowering blood pressure and slow down HR was significantly greater in the observation group than that in the control group （P 〈 0.01）. Conclusion： Valsartan is effective in the treatment of chronic heart failure and it can improve patients cardiac function.

关 键 词：缬沙坦 高血压病 心房颤动 护理 

分 类 号：R473.5[医药卫生—护理学]