脑心通胶囊联合常规疗法治疗冠心病心力衰竭临床观察
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R541.4;R541.6

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桐乡市科技局立项课题(20143167)


Clinical Observation of Naoxintong Capsules Combined with Routine Therapy for Cardiac Failure Caused by Coronary Heart Disease
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    摘要:

    目的:观察脑心通胶囊联合常规疗法治疗冠心病心力衰竭患者的疗效。方法:将80例冠心病心力衰竭气虚血瘀证患者随机分为治疗组和对照组各40例,治疗组在常规西药治疗的基础上加用脑心通胶囊,对照组单纯以常规西药治疗,2组均干预6月。比较2组患者治疗前后的生活质量评分、血清基质金属蛋白酶-2(MMP-2)水平和左室质量指数。结果:治疗后,2组生活质量评分均较治疗前下降,差异均有统计学意义(P<0.05);治疗组生活质量评分低于对照组(P<0.05)。2组MMP-2水平均较治疗前降低,差异均有统计学意义(P<0.05);治疗组血清MMP-2水平低于对照组,差异有统计学意义(P<0.05)。2组左室质量指数与治疗前比较,差异均无统计学意义(P>0.05);治疗组左室质量指数较对照组有降低趋势,但差异无统计学意义(P>0.05)。结论:在常规治疗的基础上长期服用脑心通胶囊治疗冠心病心力衰竭能够提高患者的生活质量,并有阻止心室重塑的作用。

    Abstract:

    Objective:To observe the curative effect of Naoxintong capsules combined with routine therapy for cardiac failure caused by coronary heart disease.Methods:Divided 80 patients with cardiac failure caused by coronary heart disease with qi deficiency and blood stasis syndrome into the treatment group and the control group randomly,40 cases in each group.Both groups receivedroutine western medicine for treatment,while the treatment group additionally received Naoxintong capsules.Both groups received treatment for six months.Quality of life(QOL)score,the level of serum matrix metalloproteinase-2(MMP-2)and left ventricular mass index before and after treatment between the two groups were compared respectively.Results:After treatment,QOL scores in both groups were decreased when compared with those before treatment,differences being significant(P<0.05);QOL scores in the treatment group were lower than those in the control group(P<0.05).MMP-2 levels in both groups were lower than those before treatment,differences being significant(P<0.05);serum MMP-2 levels in the treatment group were lower than those in the control group,the difference being significant(P<0.05).No significance was found in the comparison of left ventricular mass indexes before and after treatment between the two groups(P>0.05).There was a downward trend of left ventricular mass indexes in the treatment group in comparison to the control group,but there was no significant difference(P> 0.05).Conclusion:Long-term administration of Naoxintong capsules combined with routine therapy can improve QOL of patients with cardiac failure caused by coronary heart disease and prevent ventricular remodeling.

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于占文,朱志芳,姚惠亚.脑心通胶囊联合常规疗法治疗冠心病心力衰竭临床观察[J].新中医,2017,49(12):14-16

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  • 在线发布日期: 2017-12-02
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