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曲美他嗪对老年慢性心力衰竭患者自主神经功能的影响
引用本文:马丕勇,孙晓莉,杨萍.曲美他嗪对老年慢性心力衰竭患者自主神经功能的影响[J].中国全科医学,2011,14(12).
作者姓名:马丕勇  孙晓莉  杨萍
作者单位:1. 吉林大学中日联谊医院急救医学科,吉林省长春市,130033
2. 吉林大学中日联谊医院老年病科,吉林省长春市,130033
3. 吉林大学中日联谊医院心内科,吉林省长春市,130033
摘    要:目的 探讨曲美他嗪对老年慢性心力衰竭患者自主神经功能的影响.方法 将35例老年慢性心力衰竭患者随机分为对照组与曲美他嗪组,所有患者采用心力衰竭常规药物治疗,曲美他嗪组加用曲美他嗪20 mg,3次/d口服,分别于用药前及用药12周检查患者的心脏功能与心率变异性指标.结果 两组治疗后均能明显改善慢性心力衰竭患者的心脏射血分数(P<0.05),且曲美他嗪组优于对照组,差异有统计学意义(P<0.05).两组患者治疗后心率变异性各指标均升高(P<0.05),且曲美他嗪组与对照组比较,差异有统计学意义(P<0.05).结论 曲美他嗪辅助治疗老年心力衰竭疗效显著,能提高心率变异性,改善自主神经功能,无明显不良反应.

关 键 词:曲美他嗪  心力衰竭  心率变异性

Effects of Trimetazidine on Autonomic Nervous Function of Aged Patients with Chronic Heart Failure
MA Pi-yong,SUN Xiao-li,YANG Ping.Effects of Trimetazidine on Autonomic Nervous Function of Aged Patients with Chronic Heart Failure[J].Chinese General Practice,2011,14(12).
Authors:MA Pi-yong  SUN Xiao-li  YANG Ping
Institution:MA Pi-yong,SUN Xiao-li,YANG Ping.Emergency Department of China-Japan Union Hospital,Jilin University,Changchun 130033,China
Abstract:Objective To investigate the effects of trimetazidine on the autonomic nervous function in elderly patients with chronic heart failure.Methods 35 elderly patients with heart failure were randomly divided into control group and trimetazidine group.All patients were treated with conventional drug therapy,while trimetazidine group was treated with additional 20 mg trimetazidine three times/day orally.Echocardiography and 24-hour heart rate variability were tested before treatment and 12 weeks after the treatme...
Keywords:Trimetazidine  Heart failure  Heart rate variability  
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