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目的:观察中西医结合治疗慢性肺源性心脏病合并心力衰竭的临床疗效。方法:将86例慢性肺源性心脏病合并心力衰竭患者随机分为治疗组和对照组,两组均给予抗感染、化痰、平喘、强心、利尿等综合治疗,治疗组在此基础上给予自拟益肺养心汤,每日1剂,7天为1个疗程,治疗2个疗程后观察疗效。结果:治疗组与对照组总有效率分别为93.0%和72.1%,两组总有效率比较,差异有显著性意义(P<0.05);在血液流变学指标上,治疗组治疗后指标与治疗前相比,均有显著性差异(P<0.05)。在血气分析指标上,治疗组与对照组治疗后PaO2与PaCO2相比,差异有显著性意义(P<0.05)。心功能参数比较,治疗组与对照组治疗后各指标相比,差异有显著性意义(P<0.05)。结论:中西医结合治疗慢性肺源性心脏病能有效改善呼吸功能,纠正心肺功能,降低血液粘稠度,疗效可靠,值得推广应用。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in treating patients with chronic cor pulmonale complicated with heart failure. Methods: Eighty-six chronic cor pulmonale patients with heart failure complicated with heart failure were randomly divided into treatment group and control group. Both groups were given anti-infective, phlegm-resolving, antiasthmatic, cardiac, diuretic and other comprehensive treatment. To give self-prepared lung Yang Xin Tang, 1 day, 7 days for a course of treatment, after 2 courses of treatment to observe the curative effect. Results: The total effective rates of the treatment group and the control group were 93.0% and 72.1%, respectively. There was significant difference between the two groups in the total effective rate (P <0.05); in the hemorheology indexes, Before treatment, there was a significant difference (P <0.05). PaO2 and PaCO2 in the treatment group and the control group were significantly different (P <0.05). Comparison of cardiac function parameters, the treatment group and the control group after treatment compared to each index, the difference was significant (P <0.05). Conclusion: Integrative Chinese and Western medicine treatment of chronic pulmonary heart disease can effectively improve respiratory function, correct cardiopulmonary function, reduce blood viscosity, reliable, it is worth to promote the application.