低能量激光治疗尘肺合并高血压病临床观察

Clinical Observation on Low Energy Laser Treatment of Pneumoconiosis with Essential Hypertension

目的 通过与静脉点滴川芎嗪比较,证明低能量氦氖激光血管内照射治疗尘肺合并高血压病的降压疗效。方法 随机选取药物治疗无效的尘肺合并高血压患者87例,SBP<170mmHg,排除继发性高血压后分为两组,激光组(第1组)采用低能量氦氖激光经上肢静脉血管内照射。对照组(第2组)采用川芎嗪120 mg加入液体静脉点滴。治疗后比较两组血压、生化检查、血尿常规、血流变及其症状改善情况。结果 治疗后2组血压均显著降低,有效率分别达90.8％(第1组)和935％(第2组)。血流变有明显改善,2组治疗后改变均有统计学意义(P<0.01)。治疗中未见不良反应及副作用。结论 激光治疗和静脉点滴川芎嗪配合小剂量降压药治疗高血压病同样安全有效。

Objective To verify the effectiveness of low energy laser treatment of pneumoconiosis with essential hypertension. Methods The patients diagnosed as pneumoconiosis with essential hypertension were divided randomly into two groups: 1(?) group (87 cases) received the low energy laser treatment through army intravenous irradiation, and 2nd group (62 cases) received Tettromenthypy-rozine (TMP) by intravenous drip. The blood pressure, blood biochemical indicators and urinary indicator, as well as hemorheology and clinical signs were observed. Results The high blood pressure was controlled in the both groups and the hemorheological parameters were improved. The effective ratio was 90.8% and 93.5%, respectively. There were no side effects observed among these patients. Conclusion The low energy laser treatment is effective and safe in the treatment of pneumoconiosis with essential hypertension.