中国伤残医学Issue(10)：33-35,3.
托拉塞米与呋塞米治疗老年慢性心力衰竭伴利尿剂抵抗的短期疗效观察
Short-term efficacy observation on torasemide and furosemide treating diuretic resistance in elderly patients with chronic heart failure
贾芳 1黄锐 1郑侨克 1黄蕾 1熊强1
作者信息
- 1. 福建医科大学教学医院厦门市第一医院，福建 厦门 361021
- 折叠
摘要
Abstract
Objective:To investigate the short-term efficacy observation on torasemide and furosemide treating diuretic resistance in elderly patients with chronic heart failure .Methods:Sixty cases with chronic heart failure with diuretic resistance were divided into two groups:pump into furosemide group(A group,n=30)and torasemide injection group (B group,n=30).Pro-Brain Natriuretic Peptide ( pro-BNP)、6 minutes walking test、heart function classification、blood electrolyte、urine output and kidney function were measured before and five days after treatment respectively .Results:By the end of five days therapy , heart function and urine output cf all patients were bet-ter than before;Heart function and urine output in torasemide injection group were significantly better compared with pump into furosemide group (P<0.05);6 minutes walking test was significantly increased in torasemide injection group compared with pump into furosemide group;pro-BNP was significantly decreased in torasemide injection group compared with pump into furosemide group (P<0.05);serum potassium was significantly decreased in pump into furosemide group compared with torasemide injection group ,no significant difference inserum sodium and serum creatinine were observed in two groups .Conclusion:Short -term pump into furosemide and torasemide injectioncan improve the clinical symptoms in elderly patients with chronic heart failure with diuretic resistance , to increase urine output and improveheart function, torasemide to improve heart failure there is always more efficient than furosemide .关键词
老年慢性心力衰竭/利尿剂抵抗/呋塞米/托拉塞米Key words
Elderly with chronic heart failure/Diuretic resistance/Furosemide/Torasemide分类
医药卫生引用本文复制引用
贾芳,黄锐,郑侨克,黄蕾,熊强..托拉塞米与呋塞米治疗老年慢性心力衰竭伴利尿剂抵抗的短期疗效观察[J].中国伤残医学,2013,(10):33-35,3.
