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心脉隆注射液治疗住院高龄慢性心力衰竭患者的临床疗效观察

黄方 张瑗 方放 钱晓明

中国全科医学2013,Vol.16Issue(3):329-331,3.
中国全科医学2013,Vol.16Issue(3):329-331,3.DOI:10.3969/j.issn.1007-9572.2013.01.108

心脉隆注射液治疗住院高龄慢性心力衰竭患者的临床疗效观察

Clinical Effect of Xinmailong Injection in the Treatment of Chronic Heart Failure in Advanced Age Patients

黄方 1张瑗 1方放 1钱晓明1

作者信息

  • 1. 210002,江苏省南京市,中国人民解放军南京军区老年病研究中心,南京军区总医院干部病房二科
  • 折叠

摘要

Abstract

Objective To investigate the curative effect and safety of Xinmailong injection in treating chronic heart failure ( CHF ) among advanced age patients. Methods 117 advanced age CHF patients with cardiac functional grading from HI to IV June 2008 to June 2011 were divided into treatment group ( 71 cases ) and control group ( 46 cases ) . The two groups were treated according to CHF treatment guide. The control group was given diuretic, angiotensin converting enzyme inhibitor and appropriate levels of nitric acid lipide and digitaloid drugs, while the treatment group was given additional intravenous drip of Xinmailong injection and 100 ml 5 percent glucose injection or 0. 9 percent sodium chloride solution one time daily for 14 consecutive days. The changes of clinical effect, left ventricular ejection fraction ( LVEF ) and NT - proBNP after treatment were compared between the two groups. Results In the control group, 22 cases were significantly improved, 17 cases were improved and 7 cases were invalid, while in the treatment group, 50 cases were significantly improved, 18 cases were improved and 3 cases were invalid. The difference between the two groups was statistically significant ( u = - 2. 6375, P = 0. 0084 ) . After treatment, the LVEF of treatment group was significantly higher than the control group, and the NT - proBNP was significantly lower than the control group ( P < 0. 05 ) . The adverse effect rate of the two groups showed no statistically significant difference ( P > 0. 05 ). Conclusion Xinmailong injection can lower cardiac load of CHF among advanced age patients, restrain activation of neuroendo-crine and improve heart function.

关键词

慢性心力衰竭/心脉隆注射液/老年人,80以上/心功能

Key words

Chronic heart failure/Xinmailong injection/Aged, 80 and over/Heart function

分类

医药卫生

引用本文复制引用

黄方,张瑗,方放,钱晓明..心脉隆注射液治疗住院高龄慢性心力衰竭患者的临床疗效观察[J].中国全科医学,2013,16(3):329-331,3.

基金项目

南京军区医学科技创新资助课题(11MA097) (11MA097)

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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