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比较ACE-抑制剂和其他抗高血压药对血透病人左心功能及心肌重量的影响。方法:血透病人被分为3组,比较治疗12个月后血压、左心功能及左心肥大的改变。结果:组1(ACE-抑制剂)在治疗4-5周后血压有明显降低,心脏检查示:治疗后,组1LVEDD、LVM、LVMI、IVSD、LVPWD和E均有明显降低,A和E/A有明显升高,LVMI的改变与透析开始及透析结束时的平均动脉压呈明显正相关,在组2及对照组则无显著性改变。结论:在长期维持性透析病人,ACE-抑制剂对改善心功能和减轻左心肥大有明显疗效
To compare the effects of ACE-inhibitors and other antihypertensives on left ventricular function and myocardial weight in patients with hemodialysis. Methods: Hemodialysis patients were divided into three groups, comparing the changes of blood pressure, left ventricular function and left ventricular hypertrophy after 12 months of treatment. Results: The blood pressure of group 1 (ACE-inhibitor) decreased significantly after 4-5 weeks of treatment. The results of cardiac examination showed that the levels of LVEDD, LVM, LVMI, IVSD, LVPWD and E were significantly decreased A was significantly increased, LVMI changes and mean dialysis began dialysis and mean arterial pressure was positively correlated in group 2 and the control group no significant change. CONCLUSIONS: ACE-inhibitors have a significant effect on improving cardiac function and reducing left ventricular hypertrophy in long-term maintenance dialysis patients