静脉使用地尔硫对高血压患者蛋白尿及心力衰竭影响的观察  

Influence of intravenous Diltiazem on hypertensive patients associated with proteinuria and heart failure

作　　者：蒋锦琪[1] 邵芸[1] 李锦祥[1] 汤晓黎[1] 荣烨之[1] 

机构地区：[1]上海第二医科大学新华医院,200092

出　　处：《上海医学》2000年第2期91-93,共3页Shanghai Medical Journal

摘　　要：目的　评价静滴地尔硫艹卓（Ｄｉｌ） 对高血压伴发蛋白尿、高血压伴发快速房颤、左心功能不全的影响。方法　蛋白尿组３３ 例，左心功能不全组１０ 例，分别予静滴Ｄｉｌ５０ｍｇ／４ 小时及Ｄｉｌ３０μｇ／２ ．５ ～３ 小时后观察蛋白尿变化，室率及心功能不全症状的变化。结果　蛋白尿组３２ 例患者尿蛋白量明显下降；左心功能不全组，室率明显降低，心功能不全明显改善。结论　上述观察说明静滴Ｄｉｌ 能有效治疗血压异常升高伴发的急性肾脏损害，也能治疗血压异常升高、快速房颤伴发的左心功能不全。Objective To evaluate the effect of intravenous Diltiazem (Dil) in the treatment of hypertensive patients associated with proteinuria, atrial fibrillation and left heart failure. Methods 33 patients of proteinuria group were given intravenously Dil 50mg/4hr and 20 patients of left heart failure group Dil 30mg/2.5～3hrs: Routine urine test, EKG and symptoms of heart failure were observed.Results The intensity of proteinuria was reduced in 97% patients. In the left heart failure group, the heart rate was also reduced and symptoms of heart failure improved.Conclusion The above mentioned observations showed that intravenous Dil can effectively improve hypertension associated with acute renal failure and decrease the elevated high blood pressure, also the atrial fibrillation associated with left heart failure.(Shanghai Med J, 2000,23∶91 93)

关 键 词：高血压 蛋白尿 心力衰竭 地尔硫Zhou 

分 类 号：R544.1[医药卫生—心血管疾病]