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左旋卡尼汀联合环磷腺苷葡胺治疗慢性充血性心力衰竭的疗效观察
引用本文:JIANG Jing-bo,伍二斌,ZHANG Wei,潘迪光.左旋卡尼汀联合环磷腺苷葡胺治疗慢性充血性心力衰竭的疗效观察[J].医学综述,2008,14(16):2542-2544.
作者姓名:JIANG Jing-bo  伍二斌  ZHANG Wei  潘迪光
作者单位:桂林市人民医院心血管内科,广西,桂林,541002
摘    要:目的研究左旋卡尼汀(L-CN)与环磷腺苷葡胺(MCA)联合应用治疗慢性充血性心力衰竭(CHF)的临床疗效及安全性。方法对58例确诊的CHF患者随机分为L-CN与MCA联合治疗组(联合治疗组)30例和MCA治疗组28例。MCA治疗组在常规基础治疗上加用MCA180mg静脉滴注,1次/d,联合治疗组在MCA治疗组的基础上加用国产L-CN3g静脉滴注,1次/d,疗程均为2周。4周后比较两组治疗前后及组间的NYHA分级、6min步行距离及超声心动图测定的左心室射血分数、左心室舒张末容积等指标。结果治疗前两组患者各项观察指标差异无统计学意义(P>0.05),治疗后两组患者心功能分级、6min步行距离均明显改善,LVEF明显升高,LVEDD明显降低(P<0.05),但联合治疗组比MCA治疗组改善更明显(P<0.05)。结论联合应用左旋卡尼汀与环磷腺苷葡胺治疗慢性充血性心力衰竭有较好的疗效,且无明显不良反应。

关 键 词:充血性心力衰竭  左旋卡尼汀  环磷腺苷葡胺

Therapeutic Effect of L-carnitine Combined with Meglumine Cyclic Adenylate on Chronic Congestive heart Failure
JIANG Jing-bo,WU Yu-bin,ZHANG Wei,PAN Di-guang.Therapeutic Effect of L-carnitine Combined with Meglumine Cyclic Adenylate on Chronic Congestive heart Failure[J].Medical Recapitulate,2008,14(16):2542-2544.
Authors:JIANG Jing-bo  WU Yu-bin  ZHANG Wei  PAN Di-guang
Institution:JIANG Jing-bo,WU Yu-bin,ZHANG Wei,PAN Di-guang.(Department of Cardiology,People\'s Hospital of Guilin,Guilin 541002,China)
Abstract:Objectives To evaluate the clinical effect and safity of L-carnitine(L-CN) combined with meglumine cyclic adenylate(MCA) in treating patients with chronic congestive heart failure.Methods 30 cases with final diagnosis of CHF were randomly divided into two groups,L-CA combined with MCA group(combined treatment group,30 cases) and MCA group(28 cases).MCA group was treated with MCA by vessel injection about 180mg,once a day based on the basic therapy.Combiend treatment group was treated also with L-CN by velle...
Keywords:Congestive Heart failure  L-carnitine  Meglumine cyclic adenylate  
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