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曲美他嗪治疗对缺血性心肌病患者运动耐量、生活质量及心脏功能的影响▲
Effect of trimetazidine on exercise tolerance, life quality and cardiac function on patients with ischemic cardiomyopathy

内科 201914卷03期 页码:274-277

作者机构:广西医科大学第二附属医院心内科,南宁市530000

基金信息:▲基金项目:广西壮族自治区卫生及计划生育委员会自筹经费科研项目(Z2015560)
*通信作者:卢世文,广西医科大学第二附属医院心内科,电子邮箱 379321257@qq.com

DOI:10.16121/j.cnki.cn45-1347/r.2019.03.07

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目的探讨曲美他嗪治疗对缺血性心肌病患者运动耐量、生活质量及心脏功能的影响。方法选取缺血性心肌病患者110例,随机分为曲美他嗪组和对照组,每组55例。两组患者均给予基础治疗。在此基础上,对照组患者口服谷维素片治疗,曲美他嗪组患者口服盐酸曲美他嗪片治疗,疗程8周。比较两组患者的运动耐量(METs评分,6分钟步行最远距离)、生活质量[视觉模拟(VAS)评分,心绞痛周发作次数]、心脏功能[心室射血分数(EF),NYHA心功能分级评分]。结果治疗8周后,曲美他嗪组患者METs评分、6分钟步行距离、EF、VAS评分均明显高(大)于对照组,心功能分级和心绞痛周发作次数明显小(少)于对照组,差异有统计学意义(P<0.05)。结论曲美他嗪能有效提高缺血性心肌病患者的生活质量,增加运动耐量,改善心脏功能。
ObjectiveTo explore the effect of trimetazidine on exercise tolerance, life quality and cardiac function on patients with ischemic cardiomyopathy. MethodsA total of 110 patients with ischemic cardiomyopathy were selected and randomly divided into trimetazidine group and control group, with 55 cases in each group. The patients in control group were treated with oryzanol tablets, and patients in the trimetazidine group were treated with oral trimetazidine hydrochloride tablets on the basic treatment of both groups. Both groups were treated for 8 weeks. Exercise tolerance [metabolic equivalent (METs) score, 6-minute walking distance], life quality [visual analogue score (VAS), frequency of angina pectoris] and cardiac function [left ventricular ejection fraction (EF), New York Heart Association (NYHA) cardiac function grade score] were compared between the two groups. ResultsAfter 8 weeks of treatment, the trimetazidine group had significantly higher (larger) METs score, 6-minute walking distance, EF% and VAS score as well as smaller (less) cardiac function grade and weekly angina pectoris frequency in comparison with the control group, the difference was statistically significant (P<0.05). ConclusionTrimetazidine can effectively improve the life quality, increase exercise tolerance and improve cardiac function on patients with ischemic cardiomyopathy.

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