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目的:观察人参注射液治疗充血性心力衰竭(CHF)的疗效及对甲状腺激素的影响。方法:将54例患者分为两组,对照组以西医常规治疗,治疗组在西医常规治疗的基础上加用人参注射液治疗,疗程均2周,治疗前后采用放射免疫法检测三碘甲状腺原氨酸(T3)、甲状腺素(T4)、反三碘甲状腺原氨酸(rT3)及促甲状腺素(TSH)。结果:治疗组总有效率显著优于对照组,平均疗程显著低于对照组;经2周治疗后,治疗组和对照组的T3、T4由治疗前较低水平显著升高,rT3由治疗前的较高水平显著降低(P<005,P<001),而治疗组治疗后这3项指标与对照组比较有显著性差异(P<005,P<001)。结论:人参注射液治疗CHF,不仅可提高疗效、缩短疗程,而且可显著纠正CHF患者异常的甲状腺激素。
Objective: To observe the efficacy of ginseng injection in the treatment of congestive heart failure (CHF) and its effect on thyroid hormones. METHODS: 54 patients were divided into two groups. The control group was treated with western medicine routinely. The treatment group was treated with ginseng injection on the basis of routine western medicine treatment. The duration of treatment was 2 weeks. Radioimmunoassay was used to detect triiodothyroglucinogen before and after treatment. T3, T4, T3, and TSH. Results: The total effective rate of the treatment group was significantly better than that of the control group, and the average course of treatment was significantly lower than that of the control group. After 2 weeks of treatment, the T3 and T4 of the treatment group and the control group increased significantly from the pre-treatment lower levels, and the rT3 was from before treatment. The higher levels were significantly lower (P<005, P<001), and there was a significant difference between the three indicators of the treatment group and the control group after treatment (P<005, P<001). . Conclusion: Ginseng injection can not only improve the curative effect and shorten the course of treatment, but also can significantly correct the abnormal thyroid hormone in patients with CHF.