摘要
目的：观察血府逐瘀汤及复方丹参注射液治疗肺源性心脏病（肺心病）的临床疗效。方法：慢性肺心病急性发作期患者６５例随机分为２组：中西药结合治疗（治疗组）３５例，在常规抗感染，化痰，解痉平喘，维持水、电解质平衡基础上加用血府逐瘀汤，每日１剂分２次服；复方丹参注射液２０ｍｌ加入液体中静滴。西药治疗（对照组）３０例，在常规治疗基础上加用酚妥拉明１０ｍｇ加入液体中静滴。结果：治疗组总有效率（９１．４％）与对照组（８６．７％）比较有显著性差异（Ｐ＜０．０５）。动脉血氧分压（ＰａＯ２）的增高，二氧化碳分压（ＰａＣＯ２）的降低治疗组与对照组比较均有显著性差异（Ｐ均＜０．０５）。
Objective:To observe the therapeutic efficacy of Xuefu Zhuyu Decoction (血府逐瘀汤) and composite salvia miltiorrhiza injection on corpulmonale.Methods:Sixtyfive cases of chronic corpulmonale during acute episode were divided randomly into 2 groups.The treatment group (35 cases) was treated with TCM WM,which consist of Xuefu Zhuyu Decoction(1 dose for twice every day) and composite salvia miltiorrhiza injection 20 ml add to glucose solution for intravenous drip on the basis of routine therapy,which consist of antiinfection,reduce phlegm,ease gasp and maintain balance of water and electrolyte metabolism;the control group (30 cases) was treated with western medicine,which consist of phentolamine 10 mg add to glucose solution for intravenous on the basis of routine therapy.Results:The total effective rates were 91 4% and 86 7% in treatment group and control group respectively,there had obvious difference between 2 groups ( P <0 05).At the same time,the partial pressure of oxygen in artery (PaO 2) value was raised and partial pressure of carbon dioxide in artery (PaCO 2) was decreased in treatment group,it was superior to those in control group (all P <0 05).Conclusions:There have a better therapeutic efficacy of oral Xuefu Zhuyu Decoction and intravenous composite salvia miltiorrhiza injection in combination with western medicine on chronic corpulmonale during acute episode.
关键词
血府逐瘀汤
中西医结合治疗
Xuefu Zhuyu Decociton\ \ corpulmonale\ \ TCM WM therapy\ \ composite salvia miltiorrhiza injection
