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茶色素对冠状动脉粥样硬化性心脏病左室舒张功能不全的影响
Influences of tea pigment on diastolic insufficiency of left ventricle of coronary atherosclerosis heart disease
【摘要】 目的:探讨茶色素对冠状动脉粥样硬化性心脏病(冠心病)左室舒张功能( L V D F)不全的影响。方法:将200 例冠心病 L V D F不全患者随机分为2 组,治疗组100 例口服茶色素125 m g,每日 3 次;对照组口服巯甲丙脯酸125 m g,每日3 次。2 组疗程均为30 日。结果:治疗组治疗后舒张早期血流峰值速度( P E)、舒张早期血流速度时间积分( E S)均明显增加( P 均< 001),舒张晚期血流峰值速度( P A)、舒张晚期血流速度时间积分( A S)均明显下降( P< 005 和 P< 001), P A/ P E、 A S/ E S均显著下降( P 均< 001),舒张早期快速充盈减速度( D C)明显增快( P< 005);而对照组除 P E、 E S、 A S变化较明显( P 均< 005)外,其余均无显著性差异( P 均>005)。治疗组治疗后显著降低了血脂、血粘度,改善了微循环和心电图的疗效。结论:茶色素不但能明显降低冠心病患者血脂、血粘度,改善微循环,并有明显改善 L V D F的作用。
【Abstract】 Objective:To investigate the influences of tea pigment(TP) on diastolic insufficiency of left ventricle of coronary atherosclerosis heart disease(CAHD).Methods:200 cases were randomly divided into two groups.The treatment group ( n =100) was treated with TP 125 mg orally three times a day and the control group treated with captopril 12 5 mg orally three times a day for 30 days as a therapeutic course.Results:After therapy in treatment group all the early diastolic peakvalue velocity of blood flow(PE) and time integral of early diastolic velocity of blood flow(ES) were significantly increased (all P <0 01),however the late diastolic peakvalue velocity of blood flow(PA) and time integral of late diastolic velocity of blood flow(AS) were significantly decreased ( P <0 05 and P <0 01),all PA/PE and AS/ES were significantly depressed (all P <0 01),and the early diastolic deceleration of fast cram(DC) was significantly quickened ( P <0 05) but in control group except that the PE,ES and AS showed significant changes (all P <0 05),others had no significant differences (all P >0 05).Furthermore after therapy in treatment group the blood lipids and viscosity were significantly lowered and the microcirculation and ECG were improved.Conclusions:TP is not only able to depress the blood lipids and viscosity,improve the microcirculation,but also improve diastolic insufficiency of left ventricle in patients with CAHD.
【Key words】 coronary atherosclerosis heart disease; diastolic insufficiency of left ventricle; tea pigment; captoprilCLC number:R541.4; R331.31 Document code:A Artical ID(1999)08034004;
- 【文献出处】 中国中西医结合急救杂志 ,INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE IN PRACTICE OF CRITICAL CARE MEDICINE , 编辑部邮箱 ,1999年08期
- 【分类号】R541.4
- 【被引频次】2
- 【下载频次】33