活血化瘀法联合西药对急性心肌梗死PCI 术后心室重构的影响
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Effect of Huoxue Huayu Method Combined with Western Medicine on Ventricular Remodeling of Patients with Acute Myocardial Infraction After PCI
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    摘要:

    目的:研究活血化瘀法汤剂联合西药对急性心肌梗死冠脉支架植入术(PCI) 术后心室重构的影响。方法:将80 例急性心肌梗死患者进行前瞻性研究,分为研究组和对照组。对照组使用瑞舒伐他汀和贝那普利药物治疗,研究组加服活血化瘀法汤剂,治疗1 个月后分析疗效并观察心室重构情况。结果:治疗后,研究组中医证候积分为(3.67 ± 0.82) 分,低于对照组(5.29 ± 1.31) 分,2 组比较,差异有统计学意义(P<0.05)。研究组中医证候疗效分级情况优于对照组(P<0.05),研究组治疗总有效率87.5%高于对照组77.5%,差异有统计学意义(P<0.05)。治疗后,2 组与治疗前比较,射血分数(LVEF) 均增加,左心室舒张(LVEDD)、收缩末期直径(LVESD)、室壁运动指数(WMSI) 均降低(P<0.05)。治疗后2 组比较,研究组LVEF高于对照组,LVEDD、LVESD、WMSI 低于对照组,差异有统计学意义(P<0.05)。结论:活血化瘀法汤剂联合瑞舒伐他汀、贝那普利治疗急性心肌梗死PCI 术后患者疗效更佳,且减缓心室重构效果更好,有助于恢复血液微循环。

    Abstract:

    Abstract: Objective: To study the effect of Huoxue Huayu decoction combined with western medicine on ventricular remodeling of patients with acute myocardial infraction after percutaneous coronary intervention(PCI). Methods: A total of 80 cases of patients with acute myocardial infraction were selected so as to conduct prospective study,and were divided into the study group and the control group. The control group was given rosuvastatin and benazepril, and the study group was additionally given the oral administration of Huoxue Huayu decoction based on the treatment of the control group. After onemonth treatment,the curative effect was analyzed and the situation of ventricular remodeling was observed. Results:After treatment,Chinese medicine syndrome score was (3.67±0.82) in the study group,lower than that of (5.29±1.31) in the control group,the difference being significant(P<0.05). The grading of the curative effect of Chinese medicine syndrome in the study group was better than that in the control group(P<0.05). The total effective rate was 87.5% in the study group, higher than that of 77.5% in the control group, the difference being significant(P<0.05). After treatment, left ventricular ejection fraction(LVEF) in the two groups was increased when compared with that before treatment,and left ventricular enddiastolic diameter(LVEDD), left ventricular end systolic diameter(LVESD), and wall motion score index(WMSI) were decreased(P<0.05). After treatment, LVEF in the study group was higher than that in the control group, and LVEDD, LVESD,and WMSI were lower than those in the control group,the difference being significant(P<0.05). Conclusion:The application of Huoxue Huayu decoction combined with rosuvastatin and benazepril has a better curative effect on patients with acute myocardial infraction after PCI, with a better effect on ventricular remodeling. It conduces to recovery of blood microcirculation.

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施永周,宋斌.活血化瘀法联合西药对急性心肌梗死PCI 术后心室重构的影响[J].新中医,2021,53(13):65-68

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  • 在线发布日期: 2021-07-11
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