比索洛尔并生脉注射液治疗扩张型心肌病的临床观察.pdf

null5null1:i3Afh54李智丹1null李智曼2nullnullfh(DCM)?hKn,Piivil?s+,5VCapab56fh1:i3A,C/b1nullZE1.1nullBnullvDCMG1995MW3F#S=#h(WHO/ISFC)TFlS1,42007M12null2008M12DCM56,H?NYnullHAs)2)18(32%)a!)27(48%)a)11(20%),331,o25,M-45null62b1.2nullZEnullaU4a5f4(ACEI)?F(CHF)$F3A60mlF5%$A0null9%o)A250ml,1Q,15?1bhfF1:(SX3),S40null625mg,1Q/,1null2?0s,49,Kv45mg,1Q/b31b1.3null4S1.3.1nullrSnull(1)Ar:?)akha/h|；(2)r:?#)akha/h；(3)r:rSb1.3.2null6sk3null6s=:cKv,2Q,=4Q,s10%=T$b2nullT作者单位null1.陕西省咸阳市陕西中医学院2007级研究生null7120462.陕西中医学院2006级研究生nullnullAr19(34%),r30(54%),r7(12%),9rq87null5%b6skT:-(180null540null87)m,(362null538null74)mb3null)DCMhy,h,hB,CHF1yB,KlPb1oE*=sdV,E4b0nullnulls8E4V*d(SNS)V,q,4,5,6b5f8p,Pnullnulls8,；ACEIYVfP5E/,?,i,IigbDCMi?HV5f4h#,U4)l,h-,V7i?b73A?0DCM28,?028Tv,TF#vF9rqsY92null9%71null4%,Asb3Aaa04|7b?,9?%!,Fl,+YTFA；?480?,9l,f5,h#；0?98Od+sF?,wX?3#iHWb0FaFa?T,V?,SYT8bTAU,Dfhr,B9bID1nullWHO/ISFCassociation.ThedefinitionandclassifyaboutcarnulldiomyopathyJ.Circulation,1996,93:841null842null184nullQingdaoMedJ,2009,Vol41No.32nullWangJY.InternalMedicineM.Beijing:PeoplesMedicalPublishingHouse,2002,1853null刘国仗,吴宁,胡大一,等.心血管药物临床试验评价方法的建议J.中华心血管病杂志,1998,26(6):408null4094null胡大一,吴彦.规范心力衰竭治疗a加强患者管理.中华心血管病杂志,2005,33(6):495null4975nullBristowMR.MechanismofactionofbetablockingagentinheartfailureJ.AmCardiolJ,1997,80:266nullSzaboBM,CrijmsH,WiefieldA,etal.PredicforsofmortalinulltyinpatientswithsustainedventriculartachycardiasoventricunulllarfibrillationanddepressedleftventricularfunctionimpornulltanceofnullnullblokadeJ.AmHeartJ,1995,130:2817null吴新华,焦建玲,施荣杰.生脉注射液辅助治疗扩张型心肌病心力衰竭28例J.中国中西医结合杂志,2001,21(3):2308null李洪锋,赵承荣.生脉注射液治疗顽固性心力衰竭的疗效观察J.实用中西医结合杂志,1998,11(8):704(本文编辑:彭null玲),OW；h%WlW.er4于崇岗null崔中平%K1&nullnull探讨半导体激光汽化减压术治疗腰椎间盘突出症和椎间盘源性疼痛的方法和疗效bZEnull采用半导体激光综合治疗仪进行经皮穿刺椎间盘激光汽化减压术治疗腰椎间盘突出症和椎间盘源性疼痛216例,观察疗效b疗效参照Choy评分法评价bTnull本组治疗患者216例中,优180例,占83null3%；良16例,占7null4%；优良率共占本组病例的90null7%b无椎间盘炎以及其他并发症发生bnull经皮穿刺椎间盘激光汽化减压术通过对髓核组织的汽化a切割a凝固,减少髓核组织,减低腰椎间盘压力使突出的椎间盘张力下降a回缩,缓解纤维环后部窦椎神经的压力刺激,也缓解了神经根或硬脊膜的压力刺激,并使疼痛产生有害多肽物质的程度减低,从而达到治疗椎间盘突出症和椎间盘源性疼痛的目的b%1oM&null半导体激光；减压；椎间盘nullnull%Wl%yeKnyB,5VC%e/.e!,V*?p,YT3?bYoO?,mhs,sh?=%.bh30null35W?,39H?hq,YT3?,B3?ZYbV2004M3,810mm8；8N,OW；h%WlW.e,/,O/,YV；FaMa%,hF,W=1,PlWf/a,Ps*ih.e1tdb,rWlW.eb2009M218216%WlW.ehL,OW；h,作者单位null青岛市城阳区人民医院null2661093null5M,|irT,C/b1nullZE1.1null5nullFV2004M372009M218,X216,O%W；h,3152,o64,M-22null5null70,(45null6；L4null5Wl91,L5nullS157,L4null5aL5nullS1Wl67,L3null4aL4null5Wl1bhCTMRCTFMR_b1.2nullmZEnull-_HW,rCDXL5,/ZF,W#V?7,XLij