CAJ | 학술논문

目的观察法舒地尔联合参麦注射液治疗充血性心力衰竭的临床效果.方法选取我院自2009年5月-2011年3月收治的78例充血性心力衰竭患者作为研究对象,在常规强心、利尿、吸氧、抗感染等治疗基础上加用法舒地尔60mg加入葡萄糖溶液中静脉滴注,每日1次；参麦注射液40ml加入葡萄糖溶液中静脉滴注,每日1次.连续治疗7d后观察治疗效果及不良反应情况.结果治疗7d后,本组患者显效47例,有效26例,无效5例,总有效率为93.6%.本组患者治疗前后LVD、LVEF均有统计学差异(P<0.05),LVWP无明显改变(P>0.05).本组患者出现颜面潮红2例,经调整用药后消失,未见其他明显不良反应.结论法舒地尔联合参麦注射液治疗充血性心力衰竭效果理想,可显著改善心功能状况,临床用药应注意不良反应情况及时调整用药剂量,值得推广应用.
목적관찰법서지이연합삼맥주사액치료충혈성심력쇠갈적림상효과.방법선취아원자2009년5월-2011년3월수치적78례충혈성심력쇠갈환자작위연구대상,재상규강심、이뇨、흡양、항감염등치료기출상가용법서지이60mg가입포도당용액중정맥적주,매일1차；삼맥주사액40ml가입포도당용액중정맥적주,매일1차.련속치료7d후관찰치료효과급불량반응정황.결과치료7d후,본조환자현효47례,유효26례,무효5례,총유효솔위93.6%.본조환자치료전후LVD、LVEF균유통계학차이(P<0.05),LVWP무명현개변(P>0.05).본조환자출현안면조홍2례,경조정용약후소실,미견기타명현불량반응.결론법서지이연합삼맥주사액치료충혈성심력쇠갈효과이상,가현저개선심공능상황,림상용약응주의불량반응정황급시조정용약제량,치득추엄응용.
Objective Concept Cha Fashu to Seoul United Shenmai injection in the treatment of congestive heart failure clinical effect. Methods From May 2009 to March 2011, 78 patients with congestive heart failure patients as research subjects, in the conventional cardiac, diuretic, oxygen, anti-infection treatment on the basis of Canadian usage fasudil 60mg added to the glucose solution intravenously once a day; Shen Mai injection 40ml added glucose solution intravenously, twice daily. Continuous treatment the 7d after observation and treatment effects and adverse reactions. Results: 7d after treatment, this group of patients, 47 cases markedly effective in 26 cases, 5 cases ineffective, the total effective rate of 93.6%. LVD, this group of patients before and after treatment the LVEF were statistically significant (P<0.05), LVWP no significant change (P> 0.05). The group of patients with facial flushing two cases, disappeared after adjustment of medication, and no other significant adverse reactions. Conclusion Fasudil joint Shenmai injection in the treatment of congestive heart failure,the results are satisfactory, can significantly improve cardiac function, clinical medicine should be noted that the adverse reactions promptly adjust the dosage should be widely applied.