中西医结合治疗不稳定型心绞痛的临床疗效观察.docVIP

中西医结合治疗不稳定型心绞痛的临床疗效观察 　　doi：10.3969/j.issn.1007-614x.2014.3.45 　　摘 要 目的：评价丹红注射液对不稳定型心绞痛的临床疗效。方法：将64例不稳定型心绞痛患者随机分为两组，均常规治疗，同时治疗组32例给予丹红注射液30ml加入氯化钠注射液500ml中静滴，对照组32例给予硝酸甘油5mg加入氯化钠注射液500ml中静滴。结果：2周后心绞痛缓解情况：总有效率对照组93.75%，治疗组90.63%，差异无统计学意义（P0.05）；心电图疗效比较，治疗组心肌缺血改善的总有效率78.13%，对照组81.25%，差异无统计学意义（P0.05）。结论：丹红注射液能有效地改善不稳定型心绞痛患者的症状，抗心肌缺血。 　　关键词 不稳定型心绞痛 硝酸甘油 丹红注射液 疗效 　　To observe the clinical curative effect of conbined traditional chinese medicine and western medicine in the treatment of unstable angina pectoris 　　Wang Xinxiao 　　Chinese medicine hospital of Ye County，Henan Province，467200 　　Abstract Objective：To evaluate the clinical curative effect of Danhong injection on unstable angina pectoris.Methods：64 cases of unstable angina pectoris patients were randomly divided into two groups，both conventional therapy，while 32 cases in the treatment group were treated with 30ml Danhong injection in 500ml sodium chloride injection intravenous injection.32 cases in the control group were given 5mg nitroglycer in 500ml sodium chloride injection intravenous injection.Results：The relief of angina after 2 weeks：the total effective rate of the control group，was 93.75%，the treatment group was 90.63%，there was no significant difference（P0.05）.The electrocardiogram curative effect comparison，the total effective rate of myocardial ischemia improved in the treatment group was 78.13%，the control group was 81.25%，there was no significant difference（P0.05）.Conclusion：Danhong injection can effectively improve the symptoms of patients with unstable angina，and anti-myocardial ischemia. 　　Key words Unstable angina pectoris；Nitroglycer；Danhong injection；Curative effect 　　资料与方法 　　2012年9月-2013年8月收治冠心病心绞痛患者64例。男45例，女19例，年龄48～76岁，中位年龄62.6岁。1979年国际心脏病学会和协会及世界卫生组织（ISFC/WHO）制定的“缺血性心脏病的命名及诊断标准”，64例患者均符合其中的有关冠心病心绞痛的诊断，同时排除急性心肌梗死患者及其他原因所致的胸痛。所有患者随机分为治疗组和对照组。治疗组32例，男23例，女9例；年龄48～77岁，中位年龄64岁；病程1个月～4年，平均（3.8±1.1）年；伴高血压19例，糖尿病5例，高脂血症26例。对照组32例，男22例，女10例；年龄（48～75）岁，中位数63岁；病程1个月～5年，平均（4.3±1.3）年；伴高血压1