ABSTRACT
Objective:To observe and study the short-term efficacy of levocarnitine combined with trimetazidine in the treatment of elderly heart failure of ischemic cardiomyopathy. Methods:Totally 106 elderly patients with ischemic cardiomyopathy and heart failure were randomly divided into the observation group and the control group with 53 ones in each. All the patients were given anti-platelet, anti-myocardial ischemia and lipid-lowering therapy as well as the conventional therapy on myocardial ischemia. The control group was treated with trimetazidine,20mg,po,tid,while the observation group was additionally treated with 2g levocarnitine with 0. 9% sodium chloride injections,100ml,ivd,qd. The treatment course was 4 weeks. The improvement of heart function and the changes in cardiac function indices( including LVEDD,LVESD and LVEF)and cardiac ischemia markers( CKMB,TüI and BüP)before and after the treatment were compared between the two groups. The incidence of adverse drug reactions,the rate of re-hospitalization and mortality in the two groups were also compared. Results:The significant efficiency and total effective rate in the observation group were much higher than those in the control group(P0. 05). Conclusion:Levocarnitine combined with trimetazidine on the basis of the conditional therapy in the treatment of elderly patients with ischemic cardiomyopathy and heart failure can effectively improve heart function with better clinical efficacy,which is worthy of promo-tion in clinic.
ABSTRACT
Objective To evaluate the clinical value of TVCDU in the diagnosis and followed-up of the gestational choriocarcinoma . Methods TVCDU and related clinical data of 21 patients suffered from the gestational choriocarcinoma during May 2003 and July 2004 were restrospectively analysed.Results The sonographic manifestations of choriocarcinoma could be classified into 5 types;(1)The uterine became larger than the normal , the local myometrium was changed into irregular non-echo region which was full of blood testified by CDFI(Color Doppler flow image);(2)The myometrium became nonhomogenity with plenty of blood flow , the resistance index ( RI ) was 0.25~0.47;(3)The abnormal echo emerged in the uterine cavity was not apparent boundary to the myometrium; (4)Neoplasm in the adnexa had relatively obvious blood flow,RI was about 0.4;(5)There was no abnormal echo in pelvic organ. The relation ship between sonographies and HCG first determined was complex. However,the lesions reduced, RI descended during the treatment of chemical therapy, so did the HCG .Conclusion TVCDU plays an important role in the differential diagnosis and the evaluation of curative effects of choriocarcinoma during the course of followed- up.