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目的探讨舒张性心力衰竭(以下简称心衰)的诊治。方法对46例舒张性心衰患者给予控制血压,控制心律和心率,利尿,控制血糖,抗血小板,降脂,扩张冠状动脉,控制感染,纠正电解质紊乱,经皮冠状动脉内支架植入术等治疗,观察2～4周后心功能改善情况。结果 46例患者中,显效28例(60.87%),有效10例(21.74%),总有效率为82.61%。结论随着舒张性心衰日益被重视,以及组织多普勒及B型脑钠肽检测技术的普及,使得舒张性心衰在基层医院确诊率及治疗有效率均有大幅度提高。
Objective To investigate the diagnosis and treatment of diastolic heart failure (hereinafter referred to as heart failure). Methods 46 patients with diastolic heart failure were given blood pressure control, heart rhythm and heart rate control, diuresis, blood sugar control, anti-platelet, lipid-lowering, coronary artery expansion, infection control, electrolyte imbalance correction, percutaneous coronary stent implantation Treatment, observation 2 to 4 weeks after cardiac function improvement. Results Of 46 patients, 28 (60.87%) were effective and 10 (21.74%) were effective, with a total effective rate of 82.61%. Conclusion With the increasing emphasis on diastolic heart failure and the popularization of tissue Doppler and B-type brain natriuretic peptide test, diastolic heart failure has been greatly improved in the diagnosis and treatment of primary hospital.