步长稳心颗粒对老年舒张性心力衰竭合并阵发性房颤患者P波离散度的影响张明亮靖树新张焕轶目的研究稳心颗粒对老年舒张性心力衰竭合并阵发性心房颤动(PAF)患者P波最大时限(Pmax)、P波离散度(Pd)的影响。方法将115例老年舒张性心力衰竭合并PAF患者作为房颤组，随机分为两组：A组56例为常规治疗组，B组59例在常规治疗的基础上加用稳心颗粒。同时以54例老年舒张性心力衰竭不伴PAF患者作为对照组。比较房颤组及无房颤组以及A、B组间治疗前后Pmax及Pd的变化。结果房颤组Pmax及Pd均高于非房颤组（均P＜0.01），治疗前A、B两组Pmax及Pd差异均无统计学意义（均P＞0.05），治疗后B组房颤发作次数明显减少，Pmax及Pd较治疗前均明显缩短，与A组比较差异均有统计学意义（均P＜0.01）。结论老年舒张性心力衰竭合并PAF者较无PAF者Pmax及Pd增大，步长稳心颗粒治疗老年舒张性心力衰竭合并PAF可缩短Pmax及Pd，减少房颤发作次数。舒张性，心力衰竭；阵发性，心房颤动；P波离散度；步长稳心颗粒；老年人TheeffectofBuchangwenxinparticleondispersionofPwaveinelderpatientswithdiastoliccardiacdysfunctionandparoxysmalatrialfibrillationZHANGMing-liang*JINGShu-xinZHANGHuan-yi.*DepartmentofCardiology,TheCentralHospitalofTaian,Taian,Shandong271000,ChinaObjectiveToinvestigatetheeffectofBuchangwenxinparticlesinmaximumPwave(Pmax),dispersionofPwave(Pd)ofelderpatientswithdiastoliccardiacdysfunctionandparoxysmalatrialfibrillation(PAF).Methods115elderpatientswithdiastoliccardiacdysfunctionandPAFwererandomlydividedintotwogroups:groupAreceivedtheroutinedrugtherapy,andgroupBreceivedBuchangwenbxinparticleswithroutinedrugtherapy.Another54elderpatientswithdiastoliccardiacfunctionbutwithoutPAFwasselectedascontrolgroup.ChangesinPmaxandPdwerecomparedbetweengroupswithorwithoutPAFaswellassubgroups.ResultsPmaxandPdwerewiderinPAFgroupthannoPAFgroup(allP＜0.01).TherewasnodifferencebetweengroupAandBinPmaxandPd(allP＞0.05),andtherewerelessatrialfibrillationaswellasshortenedPmaxandPdingroupB,whichwassignificantlydifferentwithgroupA(allP＜0.01).ConclusionPmaxandPdwerewiderinelderpatientswithdiastoliccardiacdysfunctionandPAFthanthosewithoutPAF,andBuchangwenxinparticlescouldshortenPmaxandPdandreducetheattacksofatrialfibrillation.Diastoliccardiacdysfunction;Paroxysmalatrialdefibrillation;DispersionofPwave;Buchangwenxinparticles;Elderpatients10.3760/cma.j.issn.1008-6706.2011.20.010271000山东省泰安，泰安市中心医院心内科（张明亮、张焕轶），老年保健科（靖树新）万方数据@@[1]冯桂兰.P波离散度与高血压阵发性心房颤动的关系.中国基层医药，2009，16(3)：506-507.@@[2]抗心律失常药物治疗专题组.抗心律失常药物治疗建议（2001年）.现代实用医学，2003，15(11)：712-721.@@[3]张运.舒张性心力衰竭的研究进展.心肺血管病杂志,2004,23(1)：51-57.@@[4]OwanTE,HodgeDO,HergesRM,etal.Trendsinprevalenceandoutcomeofheartfailurewithpreservedejectionfraction.NEnglJMed,2006,355(3):251-259.@@[5]Wozakowska-Kap?onB.Changesinleftatrialsizeinpatientswithpersistentatrialfibrillation:aprospectiveechocardiographicstudywitha5-yearfollow-upperiod.IntJCardiol,2005,101(1):47-52.万方数据阑尾类癌12例临床分析高利强刘磊目的探讨阑尾类癌的临床治疗经验。方法对12例阑尾类癌患者的病例资料进行回顾性分析。结果12例患者术前均误诊为阑尾炎，行阑尾切除术后经病理确诊为阑尾类癌。其中，9例肿瘤直径小于1cm，2例肿瘤直径1～2cm，且肿瘤未侵出浆膜、不伴淋巴结转移者，采用单纯阑尾切除术，均生存5年以上；1例肿瘤直径大于2cm并侵出浆膜，采用有半结肠切除。结论阑尾类癌无特异性症状，多在阑尾切除术后发现，应根据肿瘤大小、浸润深度及有无转移确定手术方式。阑尾肿瘤；类癌；诊断；治疗Clinicalanalysisof1...
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