期刊文献+

曲美他嗪治疗扩张型心肌病心力衰竭疗效观察 被引量:3

Therapeutic Value of Trimetazidine on Patients with Dilated Cardiomyopathy
下载PDF
导出
摘要 目的:观察曲美他嗪(TMZ)治疗扩张型心肌病(DCM)患者的疗效。方法:选择56例DCM患者随机分为治疗组和对照组各28例。对照组:常规给予洋地黄类制剂、利尿剂、血管扩张剂、血管紧张素转换酶抑制剂及β-阻滞剂等药物。治疗组:在常规治疗基础上加用TMZ(20mg tid)连服6个月。结果:两组心功能较治疗前有明显改善,治疗组临床总有效率为95.3%,较对照组(82.6%)显著提高(P<0.05),超声心动图各项指标改善(P<0.05)。病情恶化减少(P<0.05)。结论:长期服用TMZ可使DCM患者心功能改善且安全有效。 Objective: To observe the clinical therapeutic effect of trimetazidine (TMZ) on Dilated Cardiomyopathy (DCM). Methods: 56 patients with DCM were randomly divided into TMZ treated group (n=28) and routine treated group (n=28).And the TMZ group received TMZ (20mg 3 times per day)for 6 month. All the DCW patients were prescribed digitalis, diuretics, vasodilators, ACEI and β-blocker.Results:Heat function were conspicuous improved between TMZ group and routine treated group after treat, clinical effective percentage of TMZ group is 95.3%,there were elevsted obviously (P 〈0.05) than routine group (82.6%). Condusion: Patients with DCM received TMZ for long time can improve heat function, it was safety and effective.
作者 牛素贞
出处 《中国医药导刊》 2008年第9期1399-1400,共2页 Chinese Journal of Medicinal Guide
关键词 扩张型心肌病 心力衰竭 曲美他嗪 Dilated Cardiomyopathy Heart failure Trimetazidine
  • 相关文献

参考文献4

  • 1Brottier L, Barat JL, C ombe C,et ah Therapeutic valued of eardioproteetive agent in patients with severe isshemic caydiomyepathy.Eur Heart J,1990;11 (3) :207 -212
  • 2Wolff AA, Rotmensch HH, Stanley WC,et al. Meabolic approaches to the treatment of ischemic heart disease: the clinicians, perspective [J]. Heart Fail Rev,2002; 7(2):187-203
  • 3Kantor PF,LucienA,Kozak R,et al.The antianginal drug trimeazadine shifts cardiac energy metabolism from fatty acid oxidation to glucose oxidation by inhibiting mitochondrial long-chain3-keoacyl coenzyme A thiolase [J].Circ Res,2000;86(5): 580-588
  • 4周素平,杨成明.炎症和心力衰竭[J].心血管病学进展,2007,28(3):493-496. 被引量:25

二级参考文献15

  • 1Fritzenwanger M,Kuethe F,Haase D,et al.Cardiotrophin-1 induces monocyte chemoattractant protein-1 synthesis in human umbilical vein endothelial cells[J].Cytokine,2006,33:46-51.
  • 2Kolattukudy PE,Quach T,Bergese S,et al.Myocarditis induced by targeted expression of the MCP-1 gene in murine cardiac muscle[J].Am J Pathol,1998,152:101-111.
  • 3Niu JL,Azfer A,Kolattukudy PE.Monocyte-specific Bcl-2 expression attenuates inflammation and heart failure in monocyte chemoattractant protein-1 (MCP-1)-induced cardiomyopathy[J].C ardiovasc Res,2006,71 (1):139-148.
  • 4Takehana H,Inomata T,Niwano H,et al.Immunomodulatory effect of pentoxifylline in suppressing experimental autoimmune myocarditis[J].Circ J,2002,66:499-504.
  • 5Sliwa K,Aass H,Kone VN,et al.Therapy of ischemic cardiomyopathy with the immunomodulating agent heart failure[J].Circulation,2004,109:750-755.
  • 6Sola S,Muhammad QS,Lerakis S,et al.Atorvastatin improves left ventricular systolic function and serum markers of inflammation in nonischemic heart failure[J].J Am Coll Cardiol,2006,47 (2):332-337.
  • 7Berton G,Cordiano R,Palmieri R,et al.C-reactive protein in acute myocardial infarction:association with heart failure[J].Am Heart J,2003,145 (6):1094-1101.
  • 8Kangasniemi OP,Biancari F,Luukkonen J,et al.Preoperative C-reactive protein is predictive of long-term outcome after coronary artery bypass surgery[J].Eur J Cardiothorac Surg,2006,29:983-985.
  • 9Suleiman M,Aronson D,Reisner SA,et al.Admission C-reactive protein levels and 30-days mortality in patients with acute myocardial infarction[J].Am J Med,2003,115:695-701.
  • 10Ikeda U,Shimada K.Nitric oxide and cardiac failure[J].Clin Cardiol,1997,20:837-841.

共引文献24

同被引文献35

  • 1刘雪保,周达新,葛均波.曲美他嗪佐治扩张型心肌病心功能的作用[J].江西医药,2005,40(1):50-51. 被引量:5
  • 2王宝玉,李茹,白华东.曲美他嗪治疗扩张型心肌病心力衰竭疗效观察[J].中国煤炭工业医学杂志,2006,9(8):804-805. 被引量:3
  • 3傅慎文,杜永远,金烈.曲美他嗪对扩张型心肌病患者的临床疗效[J].医药导报,2007,26(4):372-375. 被引量:3
  • 4闵海,马进才.扩张型心肌病并发充血性心力衰竭停用β受体阻滞剂后的临床不良反应观察[J].临床心血管病杂志,2007,23(7):496-497. 被引量:3
  • 5陈灏珠.实用内科学[M].北京:人民卫生出版社,2005.1850.
  • 6Fragasso G, Palloshi A, Puccetti P, et al. A randomized clinical trial of trimetazidine, a partial free fatty acid oxi- dation inhibitor, in patients with heart failure [ J]. J Am Coil Cardiol, 2006,48 ( 5 ) :992-998.
  • 7deGoma E M, Vagelos R H, Fowler M B, et al. Emer- ging therapies for the management of decompensated heart failure: from bench to bedside [ J]. J Am Coil Cardiol, 2006,48 ( 12 ) : 2397-2409.
  • 8Tuunanen H, Engblom E, Naum A, et al. Trimetazi- dine, a metabolic modulator, has cardiac and extracardi- ac benefits in idiopathic dilated cardiomyopathy [ J ]. Cir- culation, 2008,118(12) :1250-1258.
  • 9Abbate A, Bussani R, Biondi Zoccai G G, et al. Persis- tent infarct-related artery occlusion is associated with an increased myocardial apoptosis at postmortem examination in humans late after an acute myocardial infarction [ J]. Circulation, 2002,106 ( 9 ) : 1051-1054.
  • 10Kantor P F, Lucien A, Kozak R, et al. The antianginal drug trimetazidine shifts cardiac energy metabolism from fatty acid oxidation to glucose oxidation by inhibiting mi- tochondrial long-chain 3-ketoacyl coenzyme A thiolase [ J ]. Circ Res, 2000,86 ( 5 ) : 580-588.

引证文献3

二级引证文献16

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部