灯盏生脉胶囊联合单硝酸异山梨酯片治疗不稳定型心绞痛临床研究
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R541.4

基金项目:


Clinical Study on Dengzhan Shengmai Capsules Combined with Isosorbide Mononi⁃ trate Tablets for Unstable Angina Pectoris
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察在常规疗法基础上加用灯盏生脉胶囊联合单硝酸异山梨酯片治疗气虚血瘀型不稳定型 心绞痛的效果。方法:纳入110 例气虚血瘀型不稳定型心绞痛患者,根据随机数字表法分为研究组和对照组各 55 例,2 组均接受监测生命体征和抗血小板聚集、吸氧等常规治疗,口服单硝酸异山梨酯片,研究组加服灯盏 生脉胶囊治疗。2 组均治疗4 周。治疗前后检测心功能指标[左室射血分数(LVEF)、舒张末期容积(EDV)、 收缩末期容积(ESV)]、血脂指标[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)]、基质金属蛋白酶抑制因子1(TIMP-1) 及基质金属蛋白酶9(MMP-9) 水平, 比较2 组的临床疗效和不良反应发生率。结果:治疗4 周后,研究组临床疗效总有效率高于对照组,差异有统 计学意义(P<0.05)。2 组EDV 值、ESV 值均低于治疗前,LVEF 值高于治疗前,差异均有统计学意义(P< 0.05);研究组EDV 值、ESV 值均低于对照组,LVEF 值高于对照组,差异均有统计学意义(P<0.05)。2 组 TC、TG、LDL-C 水平均低于治疗前,HDL-C 水平均高于治疗前,差异均有统计学意义(P<0.05)。研究组 TC、TG、LDL-C 水平均低于对照组,HDL-C 水平高于对照组,差异均有统计学意义(P<0.05)。2 组TIMP-1 水平均高于治疗前,MMP-9 水平均低于治疗前,差异均有统计学意义(P<0.05)。研究组TIMP-1 水平高于对 照组,MMP-9 水平低于对照组,差异均有统计学意义(P<0.05)。2 组不良反应发生率比较,差异无统计学意 义(P>0.05)。结论:在常规疗法基础上予灯盏生脉胶囊联合单硝酸异山梨酯片治疗气虚血瘀型不稳定型心绞 痛患者,可有效改善心功能,减轻心绞痛症状,具有较好的治疗效果和安全性。

    Abstract:

    Abstract:Objective:To observe the effect of the therapy of Dengzhan Shengmai Capsules combined with isosorbide mononitrate tablets based on routine therapy on unstable angina pectoris. Methods:A total of 110 patients with unstable angina pectoris of qi deficiency and blood stasis type were selected and divided into the study group and the control group according to the random number table method, with 55 cases in each group. The vital signs in the two groups were monitored, and both groups were given routine therapy, including anti- platelet aggregation and oxygen inhalation, and Isosorbide Mononitrate tablets orally. The study group was additionally treated with Dengzhan Shengmai Capsules. Both groups were treated for four weeks. Before and after treatment,the levels of heart function indexes,including left ventricular ejection fraction(LVEF),end- diastolic volume(EDV) and end- systolic volume(ESV),blood lipid indexes , including high- density lipoprotein cholesterol(HDL- C) , low- density lipoprotein cholesterol (LDL- C), total cholesterol(TC) and triglyceride(TG), tissue inhibitor of metalloproteinase- 1(TIMP- 1) and matrix metalloprotein 9(MMP- 9) were detected. The clinical effects and incidence of adverse reactions were compared between the two groups. Results: After four weeks of treatment, the total clinical effective rate in the study group was higher than that in the control group,the difference being significant (P<0.05). The values of EDV and ESV in the two groups were lower than those before treatment,and the values of LEVF were higher,differences being significant(P<0.05);the values of EDV and ESV in the study group were lower than those in the control group,and the value of LEVF in the study group was higher, differences being significant(P<0.05). The levels of TC,TG and LDL-C in the two groups were lower than those before treatment,and the levels of HDL-C were higher,differences being significant(P<0.05). The levels of TC,TG and LDL-C in the study group were lower than those in the control group,and the level of HDL- C was higher than that in the control group, differences being significant(P<0.05). The levels of TIMP- 1 in the two groups were higher, and the levels of MMP- 9 were lower than those before treatment,differences being significant(P<0.05). The level of TIMP-1 in the study group was higher than that in the control group, and the level of MMP- 9 was lower than that in the control group, difference being significant(P<0.05). There is no significant difference being found in the comparison of incidence of adverse reactions between the two groups(P>0.05). Conclusion: The therapy of Dengzhan Shengmai Capsules combined with Isosorbide Mononitrate Tablets based on routine therapy for unstable angina pectoris can effectively improve the heart function and relieve the symptom of angina pectoris,with a great treatment effect and safety.

    参考文献
    相似文献
    引证文献
引用本文

金丽丽,陈军波.灯盏生脉胶囊联合单硝酸异山梨酯片治疗不稳定型心绞痛临床研究[J].新中医,2023,55(2):56-60

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2023-01-29
  • 出版日期:
文章二维码