【摘要】 目的:探讨氯沙坦联合环磷腺苷葡胺对肺心病患者心肺功能和免疫功能的影响。方法:选择2010年9月至2015年9月我院接诊的94例肺心病患者并按随机数表法分为观察组和对照组,每组各47例。对照组给予常规肺心病治疗,观察组在对照组的基础上给予氯沙坦联合环磷腺苷葡胺进行治疗。比较两组治疗前后CO、LVEF、SV、FEV1及FEV1/FV、Ig G、Ig A、补体C3、血清白细胞介素-2(interleukin-2,IL-2)、可溶性白细胞介素2受体(soluble interleukin-2 receptor,s IL-2R)、8-异前列腺素(8-ISO prostaglandin,8-iso-PG)水平的变化以及治疗后的临床疗效。结果:治疗后,观察组CO、LVEF、SV、FEV1及FEV1/FVC水平均显著高于对照组[(5.21±0.27)vs(4.15±0.46),(63.42±6.17)vs(52.37±5.76),(74.68±9.24)vs(64.56±11.73),(1.75±0.27)vs(1.32±0.31),(75.68±10.62)vs(65.49±10.05)](P<0.05),血清补体C3高于对照组[(1.34±0.12)g/L vs(1.16±0.10)g/L](P<0.05);血清s IL-2R、8-iso-PG水平显著低于对照组[(371.46±161.06)U/ml vs(435.75±152.43)U/ml,(23.58±11.72)ng/L vs(31.08±11.39)ng/L](均P<0.05);观察组总有效率高于对照组[(95.74)%vs(78.72)%](P<0.05)。结论:氯沙坦联合环磷腺苷葡胺可有效提高肺心病患者心、肺及免疫功能。更多还原

【Abstract】 Objective: To study the curative efficacy of losartan combined with cyclic adenosine monophosphate in the treatment of pulmonary heart disease and the serum levels of IL-2, s IL-2 R and 8-iso-PG. Methods: 94 patients with pulmonary heart disease who were treated from September 2010 to September 2015 were selected and randomly divided into the observation group and the control group with 47 cases in each group. The control group was treated with conventional treatment of pulmonary heart disease, while the observation group was treated with losartan and cyclic adenosine monophosphate on the basis of control group. Then the cardiac function,pulmonary function, immune function, serum levels of IL-2, s IL-2 R and 8-iso-PG and curative effect in the two groups were observed and compared before and after the treatment. Results: After treatment, the cardiac function improved in both groups(P<0.05); The levels of CO, LVEF, SV, FEV1 and FEV1/FVC in the observation group were higher than those of the control group [(5.21±0.27) vs(4.15±0.46),(63.42±6.17) vs(52.37±5.76),(74.68±9.24) vs(64.56±11.73),(1.75±0.27) vs(1.32±0.31),(75.68±10.62) vs(65.49±10.05)](P<0.05); The complement C3 level of observation group was higher than that of the control group[(1.34 ±0.12) g/L vs(1.16±0.10) g/L](P<0.05); The levels of s IL-2 R and 8-iso-PG of observation group were lower than those of the control group [(371.46 ±161.06) U/ml vs(435.75±152.43) U/ml,(23.58±11.72) ng/L vs(31.08±11.39) ng/L](P<0.05). The total effective rate of observation group was higher than that of the control group [95.74% vs78.72%](P<0.05). Conclusion: Losartan combined with adenosine cyclophosphamide could improve the heart, lung and immune function, enhance the level of complement C3, and improve the symptoms of ischemia and hypoxia.更多还原