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时间:2020-05-09
《川芎嗪注射液联合米力农治疗COPD并发慢性肺心病急性加重期的临床研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·50·2015年4月第35卷第4期ClinicalMcdicine,Apt".2015,Vo1.35,No.4川芎嗪注射液联合米力农治疗COPD并发慢性肺心病急性加重期的I临床研究张遂甫陈晓平尚艳张腾(河南省舞阳县人民医院呼吸内科,舞阳462400)【摘要】目的研究川芎嗪注射液联合米力农治疗慢性阻塞性肺疾病(COPD)并发慢性肺心病急性加重期的临床疗效。方法采用随机、平行对照的研究方法,将98例COPD并发慢性肺心病急性加重期患者随机分成两组。对照组(49例)给予常规治疗,观察组(49例)在常规治疗的基础上加用川芎嗪注射液和米力衣,
2、疗程10d。观察各组症状、体征、心功能、肺动脉压、脑钠肽和D一二聚体水平的变化情况。结果观察组总有效率89.8%,明显优于对照组的67.3%,两组差异比较有统计学意义(P<0.05);观察组肺动脉压、脑钠肽和D一二聚体水平降低程度均明显大于对照组,两组比较差异有统计学意义(P均<0.05)。结论川芎嗪注射液联合米力农治疗COPD并发慢性肺心病急性加重期有更好的疗效。【关键词】川芎嗪注射液;米力农;慢性肺心病;肺动脉高压Clinicalresearchofligustrazineinjectioncombinedwithmilrinon
3、einthetreatmentofchronicobstructivepulmonarydiseasecomplicatedwithactueexacerbationofchroniccorpulmonaleZHANGSui-fu,CHENXiao-ping,SHANGYah,ZHANG.DepartmentofRespiratoryMedicine,WuyangPeople’5Hospital,Wuyang462400,China【Abstract】0bjectiveTostudytheclinicalefficacyofligus
4、trazineinjectioncombinedwithmilrinoneonchronicobstructivepulmonarydisease(COPD)complicatedwithacuteexacerbationexacerbationofchroniccotpulmonale.MethodsNinetypa—tientswithCOPDcombinedwithacuteexacerbationofchroniccorpulmonalewereallgivenconventionaltreatmentandthenwerer
5、andomlydividedintotwogroups:49patientsofcontrolgroupweretreatedwithroutinetherapy,while49patientsofobservationgroupweregivenligustrazineinjectionandmilrinoneonbasisofroutinetherapy.Thecourseoftreatmentwas7days.Symptomsandsignsofheanfailure,heartfunction,pulmonaryarteryp
6、ressure,brainnatriuretiepeptide(BNP),andD—Dimerwereobserved.ResultsThetotalefectiverateswere89.8%and67.3%respectivelyintheobservationgroupandinthecontrolgrouprP<0.05);anddownscaleofpulmonaryarterypressure(PAP)weredistinctlygreaterthanthecontrolgroup。BNPandD-Dimerintheob
7、servationgroupdecreasedobviously,thedifferenceswerestatisticallysignificantcomparedwithcontrolgroup(P<0.05).ConclusionLigustrazineinjectioncombinedwithmilrnonecanbeeffectiveonCOPDpatientscomplicatedwithacuteexacerbationofchroniccorpulmonary.【Keywords】Ligustrazineinjecti
8、on;Milrinone;Chroniccorpulmonale;Pulmonaryarteryhighpressure慢性肺心病是一种严重危害人类健康的常见病和1对象与方法多发病,其并发症多,病死率高。慢性阻塞性肺疾病
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