CAJ | 학술논문

目的：探讨银杏达莫注射液联合低分子肝素钙治疗慢性肺源性心脏病急性加重期的临床疗效。方法130例患者随机分为两组，均给予常规综合治疗，治疗组加用银杏达莫注射液静滴，每日1次，连用14 d；低分子肝素钙腹部皮下注射，每12 h 1次，疗程7 d。结果治疗组治疗后临床症状改善，血液流变学、心功能分级好转，明显优于对照组。治疗组总有效率92．3%(60/65)优于对照组75．4%(49/65)。结论银杏达莫注射液联合低分子肝素钙治疗慢性肺源性心脏病急性加重期具有安全可靠、见效快、疗程短、毒副作用小等诸多优点，值得临床推广应用。
목적：탐토은행체막주사액연합저분자간소개치료만성폐원성심장병급성가중기적림상료효。방법130례환자수궤분위량조，균급여상규종합치료，치료조가용은행체막주사액정적，매일1차，련용14 d；저분자간소개복부피하주사，매12 h 1차，료정7 d。결과치료조치료후림상증상개선，혈액류변학、심공능분급호전，명현우우대조조。치료조총유효솔92．3%(60/65)우우대조조75．4%(49/65)。결론은행체막주사액연합저분자간소개치료만성폐원성심장병급성가중기구유안전가고、견효쾌、료정단、독부작용소등제다우점，치득림상추엄응용。
Objective To explore the clinical curative effect of Yinxingdamo injection and low molecular heparin calcium in the treatment of acute exacerbation of chronic pulmonary heart disease. Methods 130 patients were randomly divided into two groups. All patients were given conventional treatment, and the treatment group was additionally given Yinxingdamo injection by intravenous drip, 1 times a day, for 14 days, and low molecular weight heparin subcutaneous injection, once each 12 hours for 7 days. Results The improvement of clinical symptoms, blood rheology, grade of heart function was more pronounced in the treatment group than in the control group. The to-tal effective rate was 92. 3% in the treatment group (60/65), which was obviously higher than that in the control group (75. 4%). Conclusion Yinxingdamo injection combined with low molecular heparin calcium is a safe and quick method in the treatment of acute exacerbation of chronic pulmonary heart disease, with the advantages of short course of treatment, small toxic side effect and other advantages.