低分子肝素治疗老年慢性阻塞性肺疾病合并肺心病急性发作期效果

Curative effect of low molecular weight heparin in the treatment of elderly COPD patients complicated with pulmonary heart disease at acute episode

目的分析低分子肝素治疗老年慢阻肺合并肺心病急性发作期临床疗效。方法选取我院2012年8月-2013年8月90例接受治疗的老年慢阻肺合并肺心病患者,随机分为对照组和观察组,每组45例。对照组患者均进行常规治疗;观察组患者则在其基础上加以低分子肝素注射治疗;两组均治疗7天。观察两组患者治疗前后血气分析以及疗效的差异。结果观察组患者的血气分析和治疗总有效率明显优于对照组,结果有统计学差异(P<0.05)。结论低分子肝素治疗老年慢阻肺合并肺心病急性发作期,在临床中具有积极有效的治疗作用。

Objective To analyze the curative effect of low molecular weight heparin in the treatment of eld-erly COPD patients complicated with pulmonary heart disease at acute episode. Methods 90 elderly COPD patients complicated with pulmonary heart disease were randomly divided into the control group and the observation group, 45 cases in each group. The control group was given routine treatment, and the observation group was additionally trea-ted with low molecular weight heparin injection 7 days. The difference of blood gas analysis and curative effect was compared before and after treatment between the two groups. Results The improvement of blood gas analysis and curative effect was more pronounced in the obseration group than in the control group （P〈0. 05）. Conclusion Low molecular weight heparin has certain curative effect in the treatment of elderly COPD patients complicated with pulmo-nary heart disease.