降脂通络软胶囊与冠心宁片联合西药治疗气滞血瘀型慢性稳定型心绞痛临床研究
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Clinical Study on Jiangzhi Tongluo Soft Capsules and Guanxinning Tablets Combined with Western Medicine for Chronic Stable Angina Pectoris of Qi Stagnation and Blood Stasis Type
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    摘要:

    目的:观察降脂通络软胶囊与冠心宁片联合西药治疗气滞血瘀型慢性稳定型心绞痛的临床疗效及 对心电图指标的影响。方法:将138 例气滞血瘀型慢性稳定型心绞痛患者按照随机数字表法分为对照组和研究 组各69 例。2 组均予常规西药治疗,研究组加予降脂通络软胶囊联合冠心宁片口服治疗,2 组均治疗8 周。治 疗前后统计患者的心绞痛发作频率、每次心绞痛发作持续时间,评定中医证候评分;进行24 h 动态心电图检 查,比较ST 段压低次数、ST 段压低最大值和ST 段压低总时间;测定血清N-末端脑钠肽前体(NT-proBNP)、 同型半胱氨酸(Hcy) 含量。比较2 组临床疗效和不良反应发生率。结果:治疗8 周后,研究组总有效 率(92.75%) 高于对照组(73.91%),差异有统计学意义(P<0.05)。2 组心绞痛发作频率均较治疗前降低, 心绞痛发作持续时间均较治疗前缩短,差异均有统计学意义(P<0.05)。研究组心绞痛发作频率低于对照组, 心绞痛发作持续时间短于对照组,差异均有统计学意义(P<0.05)。2 组ST 段压低次数、ST 段压低最大值均 较治疗前减少,ST 段压低总时间均较治疗前缩短,差异均有统计学意义(P<0.05)。研究组ST 段压低次数少 于对照组,ST 段压低最大值低于对照组,ST 段压低总时间短于对照组,差异均有统计学意义(P<0.05)。 2 组血清NT-proBNP、Hcy 含量均较治疗前下降(P<0.05)。研究组血清NT-proBNP、Hcy 含量均低于对照 组(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:在常规西药治疗基础上加予 降脂通络软胶囊联合冠心宁片治疗,可有效缓解气滞血瘀型慢性稳定型心绞痛患者的临床症状,改善心脏功 能,发挥保护心肌作用,且不增加用药风险。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of Jiangzhi Tongluo Soft Capsules and Guanxinning Tablets combined with western medicine on chronic stable angina pectoris of qi stagnation and blood stasis type and its influence on electrocardiogram indexes. Methods: A total of 138 patients with chronic stable angina pectoris of qi stagnation and blood stasis type were divided into the control group and the study group according to random number table method,with 69 patients in each group. The two groups were treated with conventional western medicine, and the study group was additionally treated with Jiangzhi Tongluo Soft Capsules and Guanxinning Tablets orally. Both groups were treated for 8 weeks. Before and after treatment,the frequency of angina pectoris and the duration of each angina pectoris attack were measured, and the traditional Chinese medicine syndrome scores were evaluated; 24-hour holter electrocardiogram was performed to compare the times of ST segment depression, the maximum ST segment depression and the total time of ST segment depression; the contents of N-terminal brain natriuretic peptide precursor (NT-proBNP) and homocysteine (Hcy) in serum were determined. The clinical effects and incidence of adverse reactions were compared between the two groups. Results : After 8 weeks of treatment,the total effective rate was 92.75% in the study group,higher than that of 73.91% in the control group, the difference being significant (P<0.05). The frequency of angina pectoris attack in the two groups were decreased when compared with those before treatment,and the duration of angina pectoris attack were shortened when compared with those before treatment,differences being significant (P<0.05). The frequency of angina pectoris attack in the study group was lower than that in the control group, and the duration of angina pectoris attack was shorter than that in the control group, differences being significant (P<0.05). The times of ST segment depression and the maximum ST segment depression in the two groups were decreased when compared with those before treatment,and the total time of ST segment depression were shortened when compared with those before treatment, differences being significant (P<0.05). The time of ST segment depression in the study group was lower than that in the control group, the maximum ST segment depression was lower than that in the control group, and the total time of ST segment depression was shorter than that in the control group, differences being significant (P<0.05). The contents of serum NT-proBNP and Hcy in the two groups were decreased when compared with those before treatment (P<0.05). The contents of serum NT-proBNP and Hcy in the study group were lower than those in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: The therapy of Jiangzhi Tongluo Soft Capsules and Guanxinning Tablets combined with western medicine can relieve the clinical symptoms of chronic stable angina pectoris of qi stagnation and blood stasis type, improve the heart function,protect the myocardium,and do not increase the risk of medication.

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周砚田,王祝英.降脂通络软胶囊与冠心宁片联合西药治疗气滞血瘀型慢性稳定型心绞痛临床研究[J].新中医,2024,56(1):23-28

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  • 在线发布日期: 2024-01-16
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