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SDC与SEDFC差值对指导肺心病患者合理使用洋地黄的价值 被引量:2

VALUE OF DIFFERENCE BETWEEN SDC AND SEDFC FOR CORRECT USE OF DIGITALIS IN PATIENTS WITH PULMONARY HEART DISEASE
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摘要 用放射免疫方法对30例慢性肺心病患者进行血清内源性洋地黄样因子浓度(SEDFC)和地高辛血药浓度(SDC)测定,结果发现:(1)慢性肺心病患者SEDFC明显低于正常,P<0.001;(2)小剂量地高辛治疗组患者平均SDC明显低于中剂量地高辛治疗组;(3)小剂量地高辛治疗组患者心律失常发生率明显低于中剂量地高辛治疗组,P<0.025;(4)SDC与SEDFC差值大于1.0μg/L患者心律失常发生率明显高于差值小于1.0μg/L患者,P<0.05;(5)发生心律失常的肺心病患者平均SDC较未发生心律失常者明显升高,P<0.05。 The determination of serum endogenous digitalis-like factor concentrations ( SEDFC ) and serum digoxin concentrations ( SDC ) was carried out in 30 patients with chronic pulmonary heart disease ( CPHD ) with radio immunoassay. The results showed that(1) the SEDFC in patients with CPHD were significantly lower than those of normal cases, P<0.001; ( 2 ) the mean SDC in patients with low-dose digoxin treatment were significantly lower than those of patients with mild-dose, P<0.05; ( 3 ) the arrhythmia rates in patients with low-dose digoxin treatment were significantly lower than those of patients with mild-dose, P<0.025; (4) the arrhythmia rates in patients whose difference between SDC and SEDFC was beyond 1.0 μg/L was significantly higher than those of patients whose difference was within 1.0 μg/L, P<0.05; (5) the mean SDC in patients with arrhythmia were significantly higher than those of patients without arrhythmia, P<0.05.
出处 《中国药理学通报》 CAS CSCD 北大核心 1990年第6期386-388,共3页 Chinese Pharmacological Bulletin
关键词 地高辛 血药浓度 肺心病 Endogenous digitalis-like factor Digoxin Serum medicine concentration Chronic pulmonary heart disease Arrhythmia
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参考文献1

  • 1柯永胜,柳兆芳,赵振东.心力衰竭机制的探讨[J]中国急救医学,1988(05).

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