中西医结合治疗对肺心病急性发作期血液流变性的影响

慢性肺源性心脏病（肺心病），由于反复肺部感染，缺氧，易出现弥散性血管内凝血（ＤＩＣ），从而导致肺血管阻力增加、肺动脉高压，而加重心衰和呼衰。为此我们于１９９２～１９９６年采取中西医结合方法治疗慢性肺心病急性发作期患者６０例，设对照组进行疗效对比，并对二组治疗前后的血液流变性改变及其与疗效的关系进行了分析。１　资料与方法１．１　临床资料肺心病急性发作期患者１０８例，病程２至２４年，均系住院病人。全部患者根据我国第二次肺心病专业会议制定的诊断标准［１］确诊。１０８例患者入院检测血液流变学指标均呈异常…

Effects of Hemorheology on Chronic Pulmonary Heart Disease in Acute Period with Treatment in Combination of Traditional Chinese and Western Medicine

Objective: To study the changes of hemorheology on chronic pulmonary heart disease(CPHD) in acute period with treatment in combination of traditional Chinese and western medicine. Methods: 60 cases CPHD in acute period were treated with the help of the methods that are to control the pulmonary infection, intensify cardiac systole, diurese, dilate blood vessel, correct acidosis, and using traditional Chinese medicine to promoto the blood circulation and remove the blood stasis. Another 48 cases CPHD in acute period were treated with the routine treatment of western medicine. During the treatment, the hemorheologic indexes were examined in two groups. Results: The total effective rate is 96.67% in patients with treatment in combination of traditional Chinese and western medicine, which were higher than the patients with routine treatment of western medicine 83.4% ( P < 0.01 ). Also, the treatments in combination of traditional Chinese and western medicine can improve the hemorheologic indexes of patients with CPHD in acute period, compared with patients using routine treatment of western medicine which were the value P < 0.01 or 0.05 . Conclusion: The treament of CPHD in acute period, the treatment with combination of traditional Chinese and western medicine is better than the routine treatment of western medicine.