摘要
目的探讨硝酸异山梨酯对高龄慢阻肺并发慢性心衰的治疗价值。方法将218例高龄慢阻肺并发慢性心衰患者随机分为两组,对照组给予常规治疗,观察组在常规治疗基础上加用硝酸异山梨酯,比较两组治疗效果。结果观察组治疗总有效率为90.83%,明显高于对照组(P<0.01);治疗后观察组Pa O2、Pa CO2较对照组改善更明显(P<0.01);观察组治疗后心功能有明显改善(P<0.01);治疗后两组患者肺功能均有明显改善(P<0.01)。结论硝酸异山梨酯治疗高龄慢阻肺并发慢性心衰疗效显著,可有效改善患者的心功能,值得推广。
Objective To investigate therapeutic value of isosorbide dinitrate for elderly patients with chronic obstructive pulmonary disease complicated with chronic heart failure. Methods 218 cases of elderly patients with chronic obstructive pulmonary disease complicated with chronic heart failure were randomly divided into two groups,control group were given conventional treatment,observation group were plus isosorbide dinitrate on the basis of conventional therapy,therapeutic effects of two groups were compared. Results The total effective rate of observation group was 90. 83%,significantly higher than control group P〈0. 01; After treatment,improvement of PaO2,PaCO2 of observation group were more significant than control group P〈0. 01; Cardiac function of observation group after treatment significantly improved P〈0. 01） after treatment,two groups of patients showed significant improvement in lung function P〈0. 01. Conclusion Isosorbide dinitrate treatment of elderly patients with chronic obstructive pulmonary disease complicated with chronic heart failure can effectively improve cardiac function,worthy of promotion.
出处
《辽宁医学杂志》
2016年第2期15-16,共2页
Medical Journal of Liaoning
关键词
硝酸异山梨酯
慢阻肺
慢性心衰
Isosorbide dinitrate
Chronic obstructive pulmonary disease
Chronic heart failure
