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非洛地平治疗慢性肺心病心功能不全的临床研究
作者:俞梅 
单位:湖北省咸宁市中医医院
关键词:非洛地平 肺源性心脏病 心功能不全 血流动力学 动脉血气分析 
分类号:
出版年·卷·期(页码):2013·41·第五期(322-325)
摘要:

[摘要]目的:对慢性肺心病心功能不全患者应用非洛地平药物治疗,研究治疗效果。方法:我院108例慢性肺心病合并心功能不全的患者被分为2组,对照组40例采用常规治疗,观察组68例在常规治疗基础上加用非洛地平治疗,对治疗前及2周治疗后的血流动力学、动脉血气指标及临床疗效进行分析。结果:对照组显效16(40.0%)例,总有效25(62.5%)例,观察组显效43(63.2%)例,总有效60(88.2%)例。两组治疗后显效及总有效率比较差异有统计学意义(χ2=0.019,0.002,P<0.05);两组患者治疗后心率、平均动脉压降低,心搏量、心排量及射血分数增加,但观察组治疗后血流动力学变化更明显(P<0.05);两组患者治疗后动脉血氧分压均增高,二氧化碳分压均降低。结论:非洛地平对慢性肺心病心功能不全的患者治疗效果明确,副反应小,值得临床应用。

[Abstract]Objective:Patients of chronic pulmonary heart disease with cardiac dysfunction were treated by felodipine to study the treatment effect.Methods: 108 cases of chronic pulmonary heart disease combined with cardiac insufficiency in our hospital were divided into 2 groups, control group of 40 patients treated with conventional therapy,and observation group of 68 cases treated with felodipine on the basis of conventional therapy.hemodynamic and arterial blood gas indicators and clinical efficacy were analysed before and 2 weeks after treatment.Results:16 (40.0%) cases were markedly effective,and 25 (62.5%) cases were total effective in control group, 43 (63.2%) cases were markedly,60 (88.2%) cases were total effective in the observer group.After treatment,there were significant about markedly effective and total effictive rate (χ 2 = 0.019,0.002, P<0.05);After treatment, heart rate, mean arterial blood pressure, stroke volume, cardiac output and ejection fraction increase in two groups,but hemodynamic changes are more obvious in the observation group (P<0.05);After treatment,the arterial oxygen tension increased,and carbon dioxide partial pressure decreased in the two groups.Conclusion:Felodipine has well effects for chronic pulmonary heart disease with cardiac insufficiency,and less side effects,is worthy of clinical application.

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