中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
25期
87-89
,共3页
冠心病心绞痛%通心络胶囊%美托洛尔%临床疗效
冠心病心絞痛%通心絡膠囊%美託洛爾%臨床療效
관심병심교통%통심락효낭%미탁락이%림상료효
Angina pectoris of coronary heart diseases%Tongxinluo capsule%Metoprolol%Clinical efficacy
目的：探讨美托洛尔联合通心络胶囊治疗冠心病心绞痛的效果。方法将68例冠心病心绞痛患者，采用随机数字表法分为观察组(联合治疗组)及对照组(美托洛尔组)。入院后所有患者均给予常规基础治疗，在常规治疗的基础上，对照组患者给予美托洛尔，观察组除美托洛尔外加用通心络胶囊。对比观察两组患者的临床疗效、心电图改变、24 h动态心电图变化。结果观察组患者的临床总有效率为88.24%，对照组为47.06%，两组差异有统计学意义(χ2=13.170，P=0.000)。观察组患者心电图改变的总有效率为94.12%，对照组为52.94%，两组差异有统计学意义(χ2=14.809，P=0.000)。观察组患者的动态心电图发作性ST-T改善情况与对照组相比更为显著(P<0.05)。结论美托洛尔联合通心络胶囊治疗冠心病心绞痛，对患者症状的改善效果显著，效果可靠，值得推广。
目的：探討美託洛爾聯閤通心絡膠囊治療冠心病心絞痛的效果。方法將68例冠心病心絞痛患者，採用隨機數字錶法分為觀察組(聯閤治療組)及對照組(美託洛爾組)。入院後所有患者均給予常規基礎治療，在常規治療的基礎上，對照組患者給予美託洛爾，觀察組除美託洛爾外加用通心絡膠囊。對比觀察兩組患者的臨床療效、心電圖改變、24 h動態心電圖變化。結果觀察組患者的臨床總有效率為88.24%，對照組為47.06%，兩組差異有統計學意義(χ2=13.170，P=0.000)。觀察組患者心電圖改變的總有效率為94.12%，對照組為52.94%，兩組差異有統計學意義(χ2=14.809，P=0.000)。觀察組患者的動態心電圖髮作性ST-T改善情況與對照組相比更為顯著(P<0.05)。結論美託洛爾聯閤通心絡膠囊治療冠心病心絞痛，對患者癥狀的改善效果顯著，效果可靠，值得推廣。
목적：탐토미탁락이연합통심락효낭치료관심병심교통적효과。방법장68례관심병심교통환자，채용수궤수자표법분위관찰조(연합치료조)급대조조(미탁락이조)。입원후소유환자균급여상규기출치료，재상규치료적기출상，대조조환자급여미탁락이，관찰조제미탁락이외가용통심락효낭。대비관찰량조환자적림상료효、심전도개변、24 h동태심전도변화。결과관찰조환자적림상총유효솔위88.24%，대조조위47.06%，량조차이유통계학의의(χ2=13.170，P=0.000)。관찰조환자심전도개변적총유효솔위94.12%，대조조위52.94%，량조차이유통계학의의(χ2=14.809，P=0.000)。관찰조환자적동태심전도발작성ST-T개선정황여대조조상비경위현저(P<0.05)。결론미탁락이연합통심락효낭치료관심병심교통，대환자증상적개선효과현저，효과가고，치득추엄。
Objective To explore the curative effects of metoprolol combined with Tongxinluo capsule in the treatment of angina pectoris of coronary heart diseases. Methods 68 patients with angina pectoris of coronary heart diseases were allocated to an observation group (combined treatment group) and a control group (metoprolol group) based on a random number table.Patients were given regular treatment after admission.On the basis of the regular treatment,the control group was given metoprolol,and the observation group was further given Tongxinluo capsule.Clinical efficacy,changes of electrocardiogram and changes of 24-hour dynamic electrocardiogram between the two groups were compared and ob-served. Results The clinical total effective rate was 88.24% in the observation group and 47.06% in the control group and the difference was statistically significant (χ2=13.170,P=0.000).The total effective rate of changes of electrocardio-gram was 94.12% in the observation group and 52.94% in the control group,and the difference was statistically signifi-cant (χ2=14.809,P=0.000).Improvement of paroxysmal ST-T of dynamic electrocardiogram in the observation group was more significant than that in the control group (P<0.05). Conclusion Metoprolol combined with Tongxinluo capsule in the treatment of angina pectoris of coronary heart diseases has a significant effect of alleviating patients’ symptoms and its curative effect is reliable,which is worthy of clinical promotion.
