CAJ | 학술논문

目的：探讨左卡尼汀在老年冠心病心衰临床治疗过程中的应用价值。方法整群选取2013年1月—2014年8月期间在该院接诊的56例老年冠心病心衰患者，其接受常规治疗联合左卡尼汀治疗，设为观察组。回顾性分析同期在该院接诊的55例老年冠心病心衰患者的临床资料，其接受常规临床治疗，即利尿剂、硝酸酯类药物、β受体阻滞剂等治疗，设为对照组。两组患者接受不同的临床治疗，对比临床疗效。结果在接受不同治疗情况下，两组老年冠心病心衰患者的临床疗效对比，观察组治疗总有效率为94.64%，对照组治疗总有效率为74.54%，差异有统计学意义(P<0.05)。结论在老年冠心病心衰的临床治疗过程中，左卡尼汀治疗能够改善患者的心功能，疗效显著，值得临床推广和应用。
목적：탐토좌잡니정재노년관심병심쇠림상치료과정중적응용개치。방법정군선취2013년1월—2014년8월기간재해원접진적56례노년관심병심쇠환자，기접수상규치료연합좌잡니정치료，설위관찰조。회고성분석동기재해원접진적55례노년관심병심쇠환자적림상자료，기접수상규림상치료，즉이뇨제、초산지류약물、β수체조체제등치료，설위대조조。량조환자접수불동적림상치료，대비림상료효。결과재접수불동치료정황하，량조노년관심병심쇠환자적림상료효대비，관찰조치료총유효솔위94.64%，대조조치료총유효솔위74.54%，차이유통계학의의(P<0.05)。결론재노년관심병심쇠적림상치료과정중，좌잡니정치료능구개선환자적심공능，료효현저，치득림상추엄화응용。
Objective To explore the application value of L-carnitine in clinical treatment process of elderly coronary heart disease and heart failure. Methods 56 cases were selected which patients with elderly coronary heart disease and heart failure during January 2014 to August 2013, and received conventional therapy with L-carnitine treatment as the observation group. At the same period, the clinical data of 55 cases were retrospective analyzed which were treated with elderly coronary heart disease and heart failure in our hospital, they received conventional therapy by diuretics, nitrates, beta blockers as the control group. Two groups of patients received different clinical treatment, and compared to clinical efficacy. Results The total effective rate of observation group was 94.64%, and the total effective rate of control group was 74.54%, the difference was statistically significant (P< 0.05). Conclusion In clinical treatment process of elderly coronary heart disease and heart failure, L-carnitine therapy can improve heart function of patients, has a significant effect, it is worth to spread and apply in clinic.