胺碘酮联合丹红注射液治疗冠心病合并心律失常患者护理研究
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R541;R248.1

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Nursing Study of Amiodarone Combined with Danhong Injection in the Treatment of Patients with Coronary Heart Disease Complicated with Arrhythmia
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    摘要:

    目的:探究胺碘酮联合丹红注射液治疗冠心病合并心律失常患者的护理效果。方法:将110 例冠心病合并心律失常患者按随机数字表法分成2 组,对照组55 例采用胺碘酮治疗;观察组55 例采用胺碘酮联合丹红注射液治疗再配合护理干预。对比2 组患者干预前后纤维蛋白原、血浆比黏度、血细胞比容、低切变率全血黏度、高切变率全血黏度、降钙素原(PCT)、C-反应蛋白(CRP)、白细胞介素-6(IL-6)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)、甘油三酯(TG) 的变化情况。结果:2 组干预后血流动力学指标较干预前改善,观察组干预后血流动力学指标较对照组降低,差异有统计学意义(P<0.05)。2 组干预后炎症因子较干预前改善,观察组干预后炎性因子PCT、CRP、IL-6 较对照组降低,差异有统计学意义(P<0.05)。2 组干预后血脂较干预前改善,观察组干预后HDL-C 较对照组升高,而LDL-C、TC、TG 较对照组降低,差异有统计学意义(P<0.05)。结论:胺碘酮联合丹红注射液治疗冠心病合并心律失常再配合护理干预,可有效改善患者临床症状,扩张血管,降低血液黏稠度,减轻其炎症反应。

    Abstract:

    Abstract:Objective:To explore the nursing effect of amiodarone combined with Danhong injection in the treatment of patients with coronary heart disease complicated with arrhythmia. Methods: 110 patients with coronary heart disease complicated with arrhythmia were randomly divided into two groups. 55 patients in the control group were treated with amiodarone;55 cases in the observation group were treated with amiodarone combined with Danhong injection,and then combined with nursing intervention. Fibrinogen,plasma specific viscosity,hematocrit,whole blood viscosity at low shear rate, whole blood viscosity at high shear rate, procalcitonin(PCT), C- reactive protein(CRP), interleukin- 6(IL- 6), high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C),total cholesterol(TC) and triglyceride(TG) were compared between the two groups before and after intervention. Results:The hemodynamic indexes of the two groups were improved after intervention, and the hemodynamic indexes of the observation group were lower than those of the control group after intervention(P<0.05). After the intervention,the inflammatory factors in the two groups were improved. After intervention, the inflammatory factors PCT, CRP and IL- 6 in the observation group were lower than those in the control group(P<0.05). After intervention,the blood lipid in the two groups was improved. After intervention,HDL-C in the observation group was higher than that in the control group,while LDL-C,TC and TG were lower than those in the control group(P<0.05). Conclusion: Amiodarone combined with Danhong injection in the treatment of coronary heart disease complicated with arrhythmia combined with nursing intervention can effectively improve patients' clinical symptoms,expand blood vessels,reduce blood viscosity and reduce their inflammatory reaction.

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张欣,王彩鸽,沈泽坤.胺碘酮联合丹红注射液治疗冠心病合并心律失常患者护理研究[J].新中医,2021,53(23):205-208

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  • 在线发布日期: 2021-12-10
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