“血液稀释疗法”配合中药治疗急性加重期肺心病疗效观察

报告30例急性加重期肺心病患者采用血液稀释疗法配合“益气活血、清肺化痰”中药治疗,可使全血粘度、红细胞压积明显降低、红细胞电泳时间缩短(P<0.01),氧分压上升41.4％、二氧化碳分压下降32.2％(P<0.01)。临床显效率63.3％,与同期单纯西药组比较有显著性差异(P<0.05)。认为血液稀释疗法可迅速改善肺心病患者血液流变性及心肺功能,配合中药可进一步巩固疗效。

THE OBSERVATION OF THERAPEUTIC EFFECT OF HEMODILUTION COMBINED WITH CHINESE MEDICINE IN ACUTE EXACERBATION PHASE OF PULMONARY HEART DISEASE

In 30 cases of pulmonary heart disease in acute exacerbation phase, the hemodilution treatment combined with supplementing qi and activating blood circulation and removing heat from the lung and dissolving phlegm therapy of Chinese Traditional Medicine significantly decreased whole blood viscosi- ty, hematocrit, red blood cell electrophoresis time and partial pressure of blood CO_2 (by 32. 2%, P<0. 01 ), and raised partial pressure of blood 0_2 (by 41. 4%, P<0. 01). The effective rate of the therapy of hemodilu- tion combined with Chinese medicine was 63. 3% and was higher than that of therapy with weatern medicine alone (P<0. 05). It is therefore deduced that hemodilution treatment may improve the hemorheologic parameters and the pulmonary and cardiac functions in subjects suffer from pulmonary heart disease, and the combined use of Chinese medicine may further intensify the treatment effect.