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不同剂量厄贝沙坦治疗心肌梗死的疗效分析

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目的 探讨不同剂量厄贝沙坦治疗心肌梗死的疗效.方法 随机选取2020年12月—2022年12月巨野县人民医院收治的140例心肌梗死患者为研究对象,按照厄贝沙坦的不同剂量分为小剂量组和大剂量组,各70例.小剂量组采用75 mg/d厄贝沙坦治疗,大剂量组采用150 mg/d厄贝沙坦治疗,比较两组的治疗效果.结果 大剂量组的治疗总有效率为95.71%,高于小剂量组的85.71%,差异有统计学意义(χ2=4.155,P<0.05);治疗后,大剂量组的胸痛持续时间、发作次数均优于小剂量组,差异有统计学意义(P均<0.05);治疗后,大剂量组的左心室射血分数(Left Ventricular Ejection Fraction,LVEF)高于小剂量组、左室收缩末容积(Left Ven-tricular End Systolic Volume,LVESV)低于小剂量组,差异有统计学意义(P均<0.05);两组心率比较,差异无统计学意义(P>0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论 大剂量厄贝沙坦治疗心肌梗死的总有效率高,胸痛持续时间、发作次数低,不良反应与小剂量厄贝沙坦相近.
Analysis of the Efficacy of Different Doses of Irbesartan in the Treatment of Myocardial Infarction
Objective To explore the efficacy of different doses of irbesartan in the treatment of myocardial infarction.Methods A total of 140 patients with myocardial infarction admitted to Juye County People's Hospital from December 2020 to December 2022 were randomly selected as the study objects.According to different doses of irbesartan,they were divided into low-dose group and large-dose group,with 70 cases in each group.The low-dose group was treated with 75 mg/d irbesartan and the large-dose group was treated with 150 mg/d irbesartan.The therapeutic effects of the two groups were compared.Results The total effective rate of the large-dose group was 95.71%,which was higher than that of the low-dose group(85.71%),and the difference was statistically significant(χ2=4.155,P<0.05).After treatment,the duration and frequency of chest pain in large-dose group were better than those in low-dose group,and the differences were statistically significant(both P<0.05).After treatment,The left ventricular end systolic volume(LVESV)in the large-dose group was lower than that in the low-dose group and the left ventricular end systolic vol-ume(LVEF)was higher than that in the low-dose group,and the differences were statistically significant(both P<0.05).There was no significant difference in heart rate between the two groups(P>0.05).There was no significant dif-ference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion The total effective rate of large-dose irbesartan in the treatment of myocardial infarction was high,the duration of chest pain and the number of episodes were low,and the adverse reactions were similar to those of low-dose irbesartan.

Different dosesIrbesartanMyocardial infarctionEfficacyAdverse reaction

李明、李慧霞、孙赫、杨波

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巨野县人民医院药剂科,山东菏泽 274900

巨野县中医院感染管理科,山东菏泽 274900

不同剂量 厄贝沙坦 心肌梗死 疗效 不良反应

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(4)
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