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中国充血性心力衰竭治疗网西医药物治疗方法磷酸肌酸治疗老年慢性心力衰竭

磷酸肌酸治疗老年慢性心力衰竭

疗法提供:成都军区总医院 叶兴蓉 彭华生

治疗方法:

常规治疗:卧床休息;强心(地高辛片0.125 mg/天)、利尿(速尿片20~40 mg,1~2次/天)、螺内酯片20 mg/天、扩血管(消心痛片5~10 mg,3次/天),高血压者给予氨氯地平片5~10 mg/天。肺部感染者给予静脉或口服抗感染药物治疗。心功能Ⅳ级者,先静脉短期应用西地兰、速尿、硝酸甘油,病情有所控制后即改用上述药物。

在此基础上采用里尔统(磷酸肌酸)2g加入5%葡萄糖注射液200 ml静脉滴注,每天一次,连续治疗15~20天。

磷酸肌酸作为体内重要的供能物质,在心肌的代谢过程中具有关键性作用。迄今有关心力衰竭治疗的措施也表明,所有增加心肌耗能的药物对心衰患者的预后均有不利影响,而给心衰患者补充外源性磷酸肌酸有利于改善患者的症状和心功能。磷酸肌酸辅助常规治疗可改善心功能,减少室性心律失常。

输入磷酸肌酸后,通过增加能量产生而提高组织器官的功能,不仅使心脏功能得到改善,全身多脏器的功能也得到改善。因此对于老年充血性心力衰竭患者,在常规治疗的基础上加用本药能明显改善患者的症状和生活质量及预后,较为适宜。

     
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治疗充血性心力衰竭的专家
陈范元 主任医师
擅长: 高血压病、心律失常、充血性心力衰竭
单位: 上海市闵行区吴泾医院
赵嗣音 主任医师
擅长: 中西医结合治疗病毒性心肌炎、缺血性心脑血管疾病(脑梗塞、冠心病、心肌梗塞)、支架植入术后、冠心病PTCA术后、颈动脉粥样斑块、慢性充血性心力衰竭、扩张性心肌病及糖尿病心脑血管合并症等。
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