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目的 观察静脉滴注硝酸甘油联合口服小剂量硝苯地平治疗老年肺心病心力衰竭的疗效。方法 将 173例符合入选标准的患者随机分为两组 ,治疗组在常规治疗基础上加用静脉滴注硝酸甘油与口服小剂量硝苯地平 ;对照组仅给予常规治疗 ,观察两组治疗前后的疗效。结果 治疗组显效率 79.3%(6 9/ 87) ,总有效率 93.1% (81/ 87) ;对照组显效率 36 % (31/ 86 ) ,总有效率 6 8.6 % (5 9/ 86 ) ,治疗后两组疗效对比 ,显效率有极显著性意义 (P <0 .0 1) ,总有效率有显著性意义 (P <0 .0 5 )。结论 静脉滴注硝酸甘油伍用口服小剂量硝苯地平治疗老年肺心病心力衰竭的疗效显著 ,不良反应减少 ,药物使用安全性增加
Objective To observe the curative effect of intravenous drip nitroglycerin combined with oral small-dose nifedipine on heart failure of elderly patients with pulmonary heart disease. Methods 173 patients who met the inclusion criteria were randomly divided into two groups. The treatment group was given intravenous nitroglycerin and oral nifedipine in small amount on the basis of routine treatment. The control group was given routine treatment only. Before and after treatment, Efficacy. Results The effective rate of the treatment group was 79.3% (69/87), the total effective rate was 93.1% (81/87). The effective rate of the control group was 36% (31/86), the total effective rate was 8.66% (59/86) After treatment, the curative effect of two groups was significant (P <0.01), the total effective rate was significant (P <0.05). Conclusion Intravenous administration of nitroglycerin in combination with oral low-dose nifedipine has significant efficacy in the treatment of heart failure in elderly patients with pulmonary heart disease, with fewer adverse reactions and increased safety of medication