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目的:探究难治性心力衰竭患者进行连续性血液净化对患者左心室功能和心律失常的影响。方法:随机选择重庆市渝北区中医院2015年5月至2016年5月收治的76例难治性心力衰竭患者,随机均分为观察组与对照组,所有患者均给予常规临床药物治疗,观察组38例患者在临床药物治疗的基础上进行连续性血液净化治疗,观察两组患者进行连续性血液净化治疗前后患左心室功能和心律失常患者5年内的生存率。结果:观察组患者经过连续性血液净化与药物治疗后有21例患者治疗显效,总有效率为97.4%。且治疗后发现患者左心室射血分数明显增加,心室负荷降低,心律失常的症状有明显缓解和改善,5年内观察组患者生存率81.1%明显高出对照组63.2%。结论:对难治性心力衰竭患者进行连续性血液净化联合药物治疗,可以在一定程度上改善患者左心室射血功能,降低患者心室负荷,对改善患者的心律失常的症状,提高患者的临床治疗效果具有极其重要的意义。
Objective: To investigate the effects of continuous blood purification on left ventricular function and cardiac arrhythmia in patients with refractory heart failure. Methods: A total of 76 patients with refractory heart failure who were treated in Yubei District Hospital of Traditional Chinese Medicine from May 2015 to May 2016 were randomly divided into observation group and control group. All patients were given routine clinical drug treatment, 38 patients in observation group were treated with continuous blood purification on the basis of clinical drug treatment. The 5-year survival rate of patients with left ventricular function and arrhythmia before and after continuous blood purification treatment was observed. Results: In the observation group, 21 patients were cured after continuous blood purification and drug treatment, with a total effective rate of 97.4%. After treatment, the left ventricular ejection fraction was significantly increased, the ventricular load was reduced, and the symptoms of arrhythmia were relieved and improved. The survival rate of patients in observation group was significantly higher than that of control group by 81.1% in 5 years. Conclusion: Continuous blood purification combined with medical therapy in patients with refractory heart failure can improve left ventricular ejection function, reduce the ventricular load, improve the symptoms of arrhythmia and improve the clinical treatment of patients The effect is extremely important.