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目的探讨中西医结合治疗肺心病的临床疗效。方法选择我院2010年2月至2012年8月治疗的50例,随机分成对照组和观察组各25例,对照组采用吸氧、强心利尿、解痉平喘、控制感染、维持电解质和酸碱平衡等治疗。观察组在对照组的基础上加服中药进行治疗。结果对照组:显效11例,显效率为44.0%,有效6例,有效率为24.0%,无效8例,总有效率68.0%;观察组显效32例,显效率为64.0%),有效8例,有效率为28.0%,无效1例,总有效率96.0%。观察组明显优于对照组,两组比较有显著性差异(P<0.05)。两组左心室射血分数明显升高,右肺动脉内径和右肺动脉内径明显降低,与治疗前比较有显著性差异(P<0.05);观察组治疗有与对照组治疗后比较有显著性差异(P<0.05)。结论中西医结合治疗肺心病疗效显著,值得推广。
Objective To explore the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of pulmonary heart disease. Methods Fifty patients who were treated in our hospital from February 2010 to August 2012 were randomly divided into control group and observation group of 25 patients. The control group was treated with oxygen, cardiac diuretic, antispasmodic and anti-asthma, infection control, electrolyte maintenance and acid-base Balanced treatment. Observation group on the basis of the control group plus Chinese medicine for treatment. Results The control group was markedly effective in 11 cases, markedly effective rate was 44.0%, effective in 6 cases, effective rate was 24.0%, ineffective in 8 cases, the total effective rate was 68.0%; observation group, 32 cases markedly effective rate was 64.0%), effective in 8 cases , The effective rate was 28.0%, 1 case was ineffective, the total effective rate was 96.0%. The observation group was significantly better than the control group, the two groups were significantly different (P <0.05). Left ventricular ejection fraction was significantly higher in the two groups, and the diameter of the right pulmonary artery and the diameter of the right pulmonary artery were significantly decreased (P <0.05). There was significant difference between the observation group and the control group after treatment P <0.05). Conclusion The treatment of pulmonary heart disease with traditional Chinese and western medicine has obvious curative effect and is worth popularizing.