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硫酸镁、卡托普利联合治疗扩张型心肌病心衰36例临床观察 被引量:1

OMBINATION OF MAGNESIUM SULFATE WITH CAPTOPRIL IN THE TREATMENT OF HEAKT FAILURE PATIENTS WITH DILATED CARDIOMYOPATHY
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摘要 对66例扩张型心肌病(DCM)心力衰竭患者分组治疗观察。A组(常规治疗组)30例应用地戈辛和利尿剂。3组(综合治疗组)36例在常规治疗组治疗的基础上应用硫酸镁与卡托普利(CPT)。结果:B组总有效率91.7%,A组总有效率70%。差异显著(P<0.05)。B组平均动脉压(MAP)下降、心胸比例缩小、左室射血分数(En)及左室内径缩短分数(FS)增加,且较A组有显著差异(P<0.05)。作者还讨论了联合应用镁与卡托普利治疗的理论依据。 Sixty一six heart failure patients with dilated cardiolmyopathy(DCM)were divided intotwo groups (l)group A :30 patients were treated with digoxin and diuretic(routine therapy),(2)groupB:36 Patients with maghesium sulfate and captopril on the basis of routine therapy(combined modalitytherapy)The result showed that the effect rates were 9l·7%in group B and 70%in group A, rexpec-trvely The difference was signifcant(P<0. 05 ),In group B, mean arterial pressure(MAP )decreascd; cardio thoracic ratio became smaller; the ejection fraction and the inside diameter shortencd fraction ofleft ventricle incrcased.comparing with those of group A,In this paper we also discuss the theoreticalbasis of treatment with magnesium and captopril,
出处 《泰山医学院学报》 1995年第4期345-347,共3页 Journal of Taishan Medical College
关键词 心肌病 心力衰竭 硫酸镁 卡托普利 治疗 dilated cardiomypathy heart failure magnesium sulfate captopril combinedmodality therapy
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