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贾雁宾,汤泰秦.赤芍注射液治疗慢性肺心病、肺动脉高压的临床研究[J].,1991,(4):199-202,195
赤芍注射液治疗慢性肺心病、肺动脉高压的临床研究
Clinical Study on Paeonia lactiflora Injection in Treating Chronic Cor Pulmonal with Pulmonary Hypertension
  
DOI:
中文关键词:  赤芍注射液  肺动脉高压  血液流变性  肺血管阻力  瘀血症
英文关键词:right heart catheterization  pulmonary hypertension  hemorheology
基金项目:
Author NameAffiliation
Jia Yan-bin 武汉市第四医院 
Tang Tai-qin 湖北中医学院附属医院 
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中文摘要:
      本研究用心肺阻抗血流图、血液粘度检查,动脉血气分析以及右心导管术等方法比较观察了42例肺心病患者静脉、肺动脉注射100%赤芍液的临床疗效。结果显示:赤芍注射液能扩张肺血管、降低肺动脉压力和肺血管阻力,增加心输出量,改善右心功能和血液流变性,提高氧分压,使临床瘀血体征显著改善,是防治肺心病、肺动脉高压较为适用的中药制剂。
英文摘要:
      The changes of clinical features of blood stasis,hemorheology,arterial blood gas and hemodynamics which was determined by impedance cardiogram and pheopneumogram,hemor- heologic examination,blood gaseous analysis and right heart catheterization were observed in 42 patients(male 35,female 7;age 64±16.5 years),32 patients with decompensative chronic cor pulmonal(CCP).served as noninvasive methods group(NMG)treated by intravenous injecting 100% Paeonia lactifiora injection 5 ml per day,10 patients with CCP as well aspulmonary hypertension, which was proved through right heart catheterization were considered as invasive methods group (IMG)treated by pulmonary artery injecting 100% Paeonia lactiflora 5 ml(one time).After the treatment,the clinical features of blood stasis were improved significantly in NMG(P<0.05).Also the results of impedance cardiogram and pheopneumogram(such as:Q-B,B-Yinterval and Q-B/B-Y ratio,cardiac output),the hemorheologic parameters(such as:blood viscosity,plasma viscosity, hematoerit and erythrocyte electrophoresis)and oxygen consumption of myocardium were im- provecd significantly in NMG and IMG.In IMG,PAP was reduced by 0.71±0.27 kPa;PaO2 was promoted significantly in NMG.All of these have statistical significance(P<0.05 or 0.01).There are no statistical significance about the change of PaCO2,SaO2,blood pH and Bp(P<0.05).
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