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曲美他嗪改善缺血性心肌病患者心功能的临床研究

Clinical study ror effects of trimetazidine on improving heart function in patients with ischemic cardiomyopathy

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【作者】 于勇沈梅

【Author】 YU Yong;SHEN Mei People’s Hospital of Juye County, Juye, Shandong, 274900, China

【机构】 巨野县人民医院内科巨野县人民医院内科 山东巨野 274900山东巨野 274900

【摘要】 目的:探讨曲美他嗪对缺血性心肌病(ICM)患者心功能的影响。方法:42例ICM患者在常规疗法基础上,每日3次曲美他嗪20mg餐后分服,4周后考察临床疗效。超声心动图测定治疗前、后左室射血分数(LVEF)、左室短轴缩短率(FS)。结果;临床有效22例(53.4%),LVEF和FS分别由0.41±0.04和0.20±0.05增至0.54±0.08和0.36±0.05(P<0.01)。未发现不良反应。结论:曲美他嗪能改善ICM患者心功能,可作为其辅助药物。

【Abstract】 Objective: To explore the effects of trimetazidine on heart function in patients with ischemic cardiomyopathy(ICM). Methods: A total of 42 ICM cases took trimetazidine 20 mg after each of the three meals, besides routinetherapy. Clinical outcomes were evaluated 4 weeks latter, left ventricular ejecting fraction (LVEF) and fractionalshortening (FS) of echocardiography were measured before and after the treatment of trimetazidine. Results: Twentytwo ICM cases (53.4%) were effective after the treatment, LVEF and FS increased from 0.41±0.04 and 0.20±0.05 to 0.54±0.08 and 0.36±0.05 respectively(P<0.01). There found no adverse reactions related to the drug.Conclusion: Trimetazidine can improve the heart function in patients with ischemic cardiomyopathy, may be as anadjuvant drug for ICM disease.

  • 【文献出处】 心血管康复医学杂志 ,Chinese Journal of Cardiovascular Rehabilitation Medicine , 编辑部邮箱 ,2004年03期
  • 【分类号】R542.2
  • 【被引频次】9
  • 【下载频次】33
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