[1]刘云,董剑廷△.中西医结合治疗急性心肌梗死心绞痛临床观察[J].西部中医药,2019,32(01):83-86.
　LIU Yun,DONG Jianting.Clinical Observation on Integrative Medicine in Treating Acute Myocardial Infarction Angina Pectoris[J].Western Journal of Traditional Chinese Medicine,2019,32(01):83-86.
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中西医结合治疗急性心肌梗死心绞痛临床观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
32
期数:
2019年01期
页码:
83-86
栏目:
出版日期:
2019-01-15

文章信息/Info

Title:
Clinical Observation on Integrative Medicine in Treating Acute Myocardial Infarction Angina Pectoris
文章编号:
1004-6852(2019)01-0083-04
作者:
刘云，董剑廷△
广东省中山市第二人民医院医教科，广东 中山 528445
Author(s):
LIU Yun, DONG Jianting△
Department of Medical Education, Zhongshan Municipality the Second People′s Hospital of Guangdong Province, Zhongshan 528445, China
关键词:
动脉粥样硬化; 急性心肌梗死; 心绞痛; 血液流变学; 血脂水平; 中西医结合
Keywords:
atherosclerosis;  acute myocardial infarction;  angina pectoris;  hemorheology;  the level of blood lipid;  integrative medicine
分类号:
R259
文献标志码:
B
摘要:
目的：观察中西医结合治疗急性心肌梗死心绞痛的临床疗效。方法：将急性心肌梗死心绞痛患者94例随机分为对照组及中西组各47例，对照组采用西药常规治疗，中西组在对照组治疗的基础上予血府逐瘀汤加减治疗，1剂/d，早晚分服。2组疗程均为2周。比较2组患者心绞痛症状、心电图疗效，治疗前后血液流变学水平、血脂水平及不良反应发生情况。结果：中西组心绞痛症状总有效率为91.5%、心电图总有效率为85.1%，分别高于对照组的74.5%、63.8%(P＜0.05)。中西组血液流变学各指标水平较治疗前改善(P＜0.05)，且高于治疗后对照组(P＜0.05)；甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)等指标低于治疗前，且低于治疗后对照组(P＜0.05)；患者心绞痛发作次数及持续时间低于治疗前，且低于治疗后对照组(P＜0.05)；2组治疗期间均未见明显不良反应。结论：中西医结合治疗急性心肌梗死心绞痛疗效确切，有助于改善临床症状，降低血脂，改善血液流变学指标，而且用药安全。
Abstract:
Objective: To observe clinical effects of integrative medicine in treating acute myocardial infarction angina pectoris. Methods: All 94 patients were randomized into the control group and the group of integrative medicine, 47 cases each group, the control group adopted conventional therapy of Western medicine, the group of integrative medicine took modified XueFu ZhuYu decoction, one dose each day, taking in the morning and evening. The course was two weeks. The conditions of adverse reaction, the level of blood lipid, the level of hemorheology before and after treating, clinical effects of ECG, the symptoms of angina pectoris of the patients were observed between both groups. Results: Total effective rate of the group of integrative medicine was 91.5%, total effective rate of ECG was 85.1%, respectively higher than 74.5% and 63.8% of the control group (P＜0.05). Compared with before treating, the levels of different indexes of hemorheology of the group of integrative medicine improved (P＜0.05), and higher than these of the control group after treating (P＜0.05); the indexes of TG, LDL-C, TC and others were lower than before treating, and lower than these of the control groupafter treating(P＜0.05); the incidence of angina pectoris attacks and duration of the patients were lower than these before treating, and lower than these of the control group after treating(P＜0.05); no obvious adverse reaction happened during therapeutic period. Conclusion: Integrative medicine could obtain definite effects in treating acute myocardial infarction angina pectoris, and it's helpful to improve clinical symptom, lower blood lipid, raise the indexes of hemorheology with good medication safety.

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备注/Memo

备注/Memo:
收稿日期：2018-07-27 作者简介：刘云(1964—)，男，硕士学位，副主任医师。研究方向：心脑血管疾病的诊疗。 △通讯作者：董剑廷(1963—)，男，博士学位，主任医师。研究方向：心律失常的诊断与治疗。
更新日期/Last Update: 2019-01-15