中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2009年
18期
8-10
,共3页
心绞痛%中西医结合治疗%黄芪%凝血指标%临床疗效
心絞痛%中西醫結閤治療%黃芪%凝血指標%臨床療效
심교통%중서의결합치료%황기%응혈지표%림상료효
Angina pectoris%Combination traditional%Chinese and western medicine%Huangqi%Coagulation function
目的 探讨中西医结合治疗不稳定型心绞痛患者(unstable angina pectoris)对凝血指标的影响及临床疗效.方法 随机选择不稳定型心绞痛患者100例,分为中西医结合组50例和常规治疗组50例,常规治疗组采用硝酸甘油、倍他乐克和阿司匹林等传统西医治疗,中西医结合组在常规治疗组基础上加用黄芪注射液静滴14 d,观察两组患者凝血指标水平的变化以及心绞痛及心电图疗效.结果 中西医结合组血纤维蛋白原、血小板平均体积血血小板分布密度低于常规治疗组,血小板数量水平高于常规治疗组(分别为P＜0.05、P＜0.05、P＜0.05、和P＜0.05),心绞痛及心电图疗效高于常规治疗组(分别为P＜0.05和P＜0.05).结论 与常规西医治疗相比,中西医结合治疗不稳定型心绞痛能明显改善异常凝血状态,临床疗效更好,是不稳定型心绞痛较好的治疗方法 .
目的 探討中西醫結閤治療不穩定型心絞痛患者(unstable angina pectoris)對凝血指標的影響及臨床療效.方法 隨機選擇不穩定型心絞痛患者100例,分為中西醫結閤組50例和常規治療組50例,常規治療組採用硝痠甘油、倍他樂剋和阿司匹林等傳統西醫治療,中西醫結閤組在常規治療組基礎上加用黃芪註射液靜滴14 d,觀察兩組患者凝血指標水平的變化以及心絞痛及心電圖療效.結果 中西醫結閤組血纖維蛋白原、血小闆平均體積血血小闆分佈密度低于常規治療組,血小闆數量水平高于常規治療組(分彆為P＜0.05、P＜0.05、P＜0.05、和P＜0.05),心絞痛及心電圖療效高于常規治療組(分彆為P＜0.05和P＜0.05).結論 與常規西醫治療相比,中西醫結閤治療不穩定型心絞痛能明顯改善異常凝血狀態,臨床療效更好,是不穩定型心絞痛較好的治療方法 .
목적 탐토중서의결합치료불은정형심교통환자(unstable angina pectoris)대응혈지표적영향급림상료효.방법 수궤선택불은정형심교통환자100례,분위중서의결합조50례화상규치료조50례,상규치료조채용초산감유、배타악극화아사필림등전통서의치료,중서의결합조재상규치료조기출상가용황기주사액정적14 d,관찰량조환자응혈지표수평적변화이급심교통급심전도료효.결과 중서의결합조혈섬유단백원、혈소판평균체적혈혈소판분포밀도저우상규치료조,혈소판수량수평고우상규치료조(분별위P＜0.05、P＜0.05、P＜0.05、화P＜0.05),심교통급심전도료효고우상규치료조(분별위P＜0.05화P＜0.05).결론 여상규서의치료상비,중서의결합치료불은정형심교통능명현개선이상응혈상태,림상료효경호,시불은정형심교통교호적치료방법 .
Objective To explore the effect of combination traditional Chinese and western medicine treatment on the coagulation function in patients with unstable angina pectoris. Methods 100 patients were randomly divided into the treatment group (n=50) and the control group (n=50). Treatment group received Huangqi Injection for 14 days based on the use of common western medicine treatment and the control group was given common western medicine treatment (Nitroglycerol, Betaloc and Aspirin). The changes of coagulation function, clinical presentation and electrocardiogram were observed before and after the therapy. Results Compared to control group, the fibrinogen, mean platelet volume (MPV) and platelet distribution width were significantly lowered, the counting of platelet increased in treatment group. The marked improvement of clinical symptoms and abnormal electrocardiogram were also observed in treatment group (P＜0.05). Conclusions Combination of traditional Chinese and Western Medicine for unstable angina have more desirable clinical effect on unstable angina pectoris, by significantly improving the coagulation function.
