中西医结合治疗对肺心病急性发作期血液流变性的影响

Changes of Hemorheology of Patients with Chronic Pulmonary Heart Disease in Acute Period Treated with Combination of Traditional Chinese and Western Medicine

目的分析中西医结合治疗肺心病急性发作期对血液流变性的影响。方法42例肺心病急性发作期患者在使用常规西医治疗的同时，加用活血化淤、通络的中药方剂，并与31例单纯采用西医常规治疗的患者对照。结果中西医结合治疗组治疗总有效率为97．62％，明显优于单纯西医治疗组的总有效率83．87％（P〈0．01）；且中西医结合治疗能明显改善患者的血液流变性异常，与治疗前和单纯西医治疗组同期比较，P〈0．01～0．05。结论中西医结合治疗对肺心病急性发作期的疗效优于单纯西医治疗。

Objective To study the changes of hemorheology of patients with chronic pulmonary heart disease （CPHD） in acute period treated with combination of traditional Chinese and western medicine. Methods 42 cases CPHD in acute period were treated with the routine treatment of western medicine and traditional Chinese medicine to promote the blood circulation and remove the blood stasis. Another 31 cases CPHD in acute period were treated with the routine treatment of western medicine. Results The total effective rate was 97.62% in patients treated with combination of traditional Chinese and western medicine, which were higher than the patients with routine treatment of western medicine 83.87% （ P 〈 0.01 ）. Also, the treatments in combination of traditional Chinese and western medicine could improve the hemorheologic indexes of patients with CPHD in acute period, compared with patients with routine treatment of western medicine （ P 〈 0.01 or 0.05 ）. Conclusion The treament of CPHD in acute period with combination of traditional Chinese and western medicine is better than the routine treatment of western medicine.