冠心宁片对经皮冠状动脉介入治疗心血瘀阻型 急性ST 段抬高型心肌梗死的影响
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R541.4

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浙江省医学会临床科研基金项目(2021ZYC-A151)


Effect of Guanxinning Tablets on Treatment of Percutaneous Coronary Intervention for Acute ST- Segment Elevation Myocardial Infarction of Heart Blood Stasis Obstruction Type
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    摘要:

    目的:观察冠心宁片对心血瘀阻型急性ST 段抬高型心肌梗死(STEMI) 患者行经皮冠状动脉介入 治疗(PCI) 后临床疗效的影响。方法:选取心血瘀阻型STEMI 患者共60 例,采用随机数字表法分为2 组各 30 例。2 组在PCI 前后均给予西药常规治疗,治疗组在行PCI 后加用冠心宁片常规剂量进行治疗,疗程4 周。 比较2 组治疗4 周后的临床疗效、心肌损伤标志物水平、心功能指标、西雅图心绞痛量表(SAQ),以及不良 反应发生率。结果:治疗4 周后,治疗组总有效率100%,对照组93.33%,差异无统计学意义(P>0.05)。治 疗4 周后,2 组肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)、高敏肌钙蛋白-T(cTn-T) 水平均下降,且治疗 组cTn-T 水平低于对照组,差异均有统计学意义(P<0.05),但2 组间CK、CK-MB 比较,差异均无统计学意 义(P>0.05)。治疗4 周后,治疗组心功能指标左室射血分数(LVEF) 高于对照组,差异有统计学意义(P< 0.05);左室舒张末内径(LVEDD) 小于对照组,差异有统计学意义(P<0.05)。治疗4 周后,治疗组西雅图 心绞痛量表(SAQ) 各项评分躯体活动受限程度、心绞痛稳定状态、心绞痛发作情况、治疗满意程度、疾病认 知程度均高于对照组,差异均有统计学意义(P<0.05)。2 组不良反应发生率均为13.33%,差异无统计学意 义(P>0.05)。结论:冠心宁片可提高心血瘀阻型STEMI 患者PCI 后生活质量,心功能恢复更好,且安全 可靠。

    Abstract:

    Abstract:Objective:To observe the effect of Guanxinning Tablets on the clinical effect of percutaneous coronary intervention (PCI) for patients with acute ST- segment elevation myocardial infarction (STEMI) of heart blood stasis obstruction type. Methods: A total of 60 cases of patients with STEMI of heart blood stasis obstruction type were selected and divided into two groups according to the random number table method,with 30 cases in each group. Both groups were given routine western medicine treatment before and after PCI, and the treatment group was additionally given routine dose of Guanxinning Tablets after PCI. Both groups were treated for 4 weeks. After 4 weeks of treatment,the clinical effects,the levels of myocardial injury markers,the indexes of heart function,the Seattle Angina Questionnaire (SAQ),and the incidence of adverse reactions were compared between the two groups. Results: After 4 weeks of treatment, the total effective rate was 100% in the treatment group and 93.33% in the control group, there being no significant difference (P>0.05). After 4 weeks of treatment, the levels of creatine kinase (CK), creatine kinase isoenzyme (CK- MB), and high- sensitivity troponin- T (cTn- T) in the two groups were decreased,and the level of cTn-T in the treatment group was lower than that in the control group, differences being significant (P<0.05); but there was no significant difference being found in the comparison of CK and CK- MB between the two groups (P>0.05). After 4 weeks of treatment, left ventricular ejection fraction (LVEF) of heart function indexes in the treatment group was higher than that in the control group, the difference being significant (P<0.05); left ventricular end- diastolic diameter (LVEDD) was lower than that in the control group,the difference being significant (P<0.05). After 4 weeks of treatment, the SAQ scores including degree of physical activity limitation, stable state of angina pectoris, angina pectoris attack, treatment satisfaction, and disease cognition degree in the treatment group were higher than those in the control group,differences being significant (P<0.05). The incidence of adverse reactions was 13.33% in both groups,there being no significant difference (P>0.05). Conclusion: Guanxinning Tablets for patients with STEMI of heart blood stasis obstruction type after PCI can improve their quality of life,and promote the recovery of heart function,which is safe and reliable.

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胡艳艳,何明,刘金涛,王丽慧,曾奋飞,朱泳金,潘琪宏,李秋菊.冠心宁片对经皮冠状动脉介入治疗心血瘀阻型 急性ST 段抬高型心肌梗死的影响[J].新中医,2023,55(16):81-85

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  • 在线发布日期: 2023-08-31
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