中西医结合治疗矽肺合并肺源性心脏病和心力衰竭的疗效观察

Efficacy observation of integrated traditional Chinese and western medicine on silicosis combined with pulmonary heart disease and heart failure

目的探讨中西医结合治疗矽肺合并肺源性心脏病、心力衰竭的疗效。方法对64矽肺合并肺源性心脏病、心力衰竭患者随机分为对照组和治疗组。对照组:给予吸氧、止咳、化痰、平喘、强心利尿,若合并感染则加用抗生素的常规治疗;治疗组:在对照组治疗的基础上应用果糖二磷酸钠注射液联合参麦注射液的治疗方法。结果两组治疗后对比动脉血气分析、心脏B超各指标及临床症状差异有统计学意义(P<0.05)。治疗组总有效率93.75%,高于对照组81.25%。结论中西医结合治疗矽肺合并肺源性心脏病、心力衰竭的疗效显著。

[ Objective ] To discuss the efficacy of integrated traditional Chinese and western medicine on silicosis combined with pul- monary heart disease and heart failure. [ Methods] A total of 64 patients with the silicosis combined with pulmonary heart disease and heart failure were randomly divided into control group and treatment group. Routine therapy of oxygen uptake, cough relief, asthma prevention, cardiotonics and diuretics were given to control group, as well as antibiotic for infection. FDP injection com- bined with Shenmai injection plus routine therapy was given to treatment group. [ Results] After treatment, there were differences of arterial blood gas, ultrasonic results of heart and clinical symptoms between 2 groups （ P 〈 0.05 ）. The total effective rate was 93.75% in treatment group and 81.25% in control group. [ Conclusion] The efficacy of integrated traditional Chinese and western medicine on silicosis combined with pulmonary heart disease and heart failure is significant.