中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2015年
8期
4-4,5
,共2页
不同药物%老年患者急性心肌梗死%内科保守治疗%临床效果
不同藥物%老年患者急性心肌梗死%內科保守治療%臨床效果
불동약물%노년환자급성심기경사%내과보수치료%림상효과
Different drugs%Acute myocardial infarction in elderly patients with conservative treatment%Department of internal medicine%Clinical effect
目的：探讨不同药物联用在老年患者急性心肌梗死内科保守治疗中的临床效果及其预后。方法对来我院诊治的80例患者入院资料进行分析，将其随机分为两组。对照组采用磷酸肌酸钠注射液治疗，实验组联合丹红注射液治疗，比较两组治疗效果。结果实验组（1.6±0.5）h后胸痛缓解，（11.4±3.0）h后CK-MB发生变化，（1.4±0.6）h后患者ST段下降超过50%，均低于对照组（P<0.05）；实验组31例12 h后血管再通，血管再通率为77.5%，高于对照组（32.5%）（P<0.05）；实验组治疗后并发症发生率为10%，低于对照组（并发症发生率为20%）（P<0.05）。结论老年患者急性心肌梗死发病率较高，临床上采用磷酸肌酸钠注射液联合丹红注射液治疗效果理想，值得推广使用。
目的：探討不同藥物聯用在老年患者急性心肌梗死內科保守治療中的臨床效果及其預後。方法對來我院診治的80例患者入院資料進行分析，將其隨機分為兩組。對照組採用燐痠肌痠鈉註射液治療，實驗組聯閤丹紅註射液治療，比較兩組治療效果。結果實驗組（1.6±0.5）h後胸痛緩解，（11.4±3.0）h後CK-MB髮生變化，（1.4±0.6）h後患者ST段下降超過50%，均低于對照組（P<0.05）；實驗組31例12 h後血管再通，血管再通率為77.5%，高于對照組（32.5%）（P<0.05）；實驗組治療後併髮癥髮生率為10%，低于對照組（併髮癥髮生率為20%）（P<0.05）。結論老年患者急性心肌梗死髮病率較高，臨床上採用燐痠肌痠鈉註射液聯閤丹紅註射液治療效果理想，值得推廣使用。
목적：탐토불동약물련용재노년환자급성심기경사내과보수치료중적림상효과급기예후。방법대래아원진치적80례환자입원자료진행분석，장기수궤분위량조。대조조채용린산기산납주사액치료，실험조연합단홍주사액치료，비교량조치료효과。결과실험조（1.6±0.5）h후흉통완해，（11.4±3.0）h후CK-MB발생변화，（1.4±0.6）h후환자ST단하강초과50%，균저우대조조（P<0.05）；실험조31례12 h후혈관재통，혈관재통솔위77.5%，고우대조조（32.5%）（P<0.05）；실험조치료후병발증발생솔위10%，저우대조조（병발증발생솔위20%）（P<0.05）。결론노년환자급성심기경사발병솔교고，림상상채용린산기산납주사액연합단홍주사액치료효과이상，치득추엄사용。
Objective To investigate the clinical effect and prognosis in elderly patients with acute myocardial infarction combined with conservative treatment in the department of internal medicine of different drugs.Methods 80 cases of patients admitted to our hospital were analyzed, and were randomly divided into two groups. The control group using creatine phosphatesodium injection, the experimental group combined with Danhong injectiontherapy, treatment effects were compared between the two groups.Results The experimental group(1.6 ±0.5)h after chest pain,(11.4±3)h changes of CK MB after h, (1.4±0.6)h in patients with ST segment declined by more than 50%, were lower than the control group(P<0.05); 31 cases in experimental group 12 hours after recanalization, vascular recanalization rate 77.5%, higher than that of the control group(32.5%)(P<0.05); the incidence of complications was 10% in experimental group after treatment, lower than that of the control group(complication rate was 20%)(P<0.05).Conclusion Elderly patients with acute myocardial infarction incidence, clinical use of creatine phosphate sodium injection combined with Danhong injection in the treatment of ideal effect, is worthy to be popularized.
