中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
35期
101-101,103
,共2页
稳定型心绞痛%临床特点%通心络胶囊
穩定型心絞痛%臨床特點%通心絡膠囊
은정형심교통%림상특점%통심락효낭
Stable angina pectoris%Clinical characteristics%Tong Xin Luo capsule
目的：探讨稳定型心绞痛患者的临床特点和治疗效果。方法：2010年3月-2014年7月收治稳定型心绞痛患者30例，所有患者均给予硝酸异山梨酯片10 mg，3次/d，通心络胶囊0.78 g，3次/d，阿司匹林肠溶片100 mg，1次/d，连续治疗13周。结果：本组30例患者男女之比1.5：1，以男性为主，年龄以51～60岁居多。其病因主要为冠状动脉粥样硬化性病变。治疗前ST段下移(1.5±0.8)mm，出现胸痛时间(273±113)s，运动至终止时间(418±88)s，治疗后ST段下移(1.1±0.6)mm，出现胸痛时间(345±132)s，运动至终止时间(510±93)s，治疗前后比较有统计学意义(P＜0.05)，30例患者治疗前后血压和心率明显下降，与治疗前比较有统计学意义(P＜0.05)。结论：稳定型心绞痛患者多见于年龄以51～60岁的男性，通心络胶囊联合硝酸异山梨酯、阿司匹林肠溶片治疗效果显著，值得推广。
目的：探討穩定型心絞痛患者的臨床特點和治療效果。方法：2010年3月-2014年7月收治穩定型心絞痛患者30例，所有患者均給予硝痠異山梨酯片10 mg，3次/d，通心絡膠囊0.78 g，3次/d，阿司匹林腸溶片100 mg，1次/d，連續治療13週。結果：本組30例患者男女之比1.5：1，以男性為主，年齡以51～60歲居多。其病因主要為冠狀動脈粥樣硬化性病變。治療前ST段下移(1.5±0.8)mm，齣現胸痛時間(273±113)s，運動至終止時間(418±88)s，治療後ST段下移(1.1±0.6)mm，齣現胸痛時間(345±132)s，運動至終止時間(510±93)s，治療前後比較有統計學意義(P＜0.05)，30例患者治療前後血壓和心率明顯下降，與治療前比較有統計學意義(P＜0.05)。結論：穩定型心絞痛患者多見于年齡以51～60歲的男性，通心絡膠囊聯閤硝痠異山梨酯、阿司匹林腸溶片治療效果顯著，值得推廣。
목적：탐토은정형심교통환자적림상특점화치료효과。방법：2010년3월-2014년7월수치은정형심교통환자30례，소유환자균급여초산이산리지편10 mg，3차/d，통심락효낭0.78 g，3차/d，아사필림장용편100 mg，1차/d，련속치료13주。결과：본조30례환자남녀지비1.5：1，이남성위주，년령이51～60세거다。기병인주요위관상동맥죽양경화성병변。치료전ST단하이(1.5±0.8)mm，출현흉통시간(273±113)s，운동지종지시간(418±88)s，치료후ST단하이(1.1±0.6)mm，출현흉통시간(345±132)s，운동지종지시간(510±93)s，치료전후비교유통계학의의(P＜0.05)，30례환자치료전후혈압화심솔명현하강，여치료전비교유통계학의의(P＜0.05)。결론：은정형심교통환자다견우년령이51～60세적남성，통심락효낭연합초산이산리지、아사필림장용편치료효과현저，치득추엄。
Objective:To investigate the clinical characteristics and therapeutic effect in patients with stable angina pectoris. Methods:30 patients with stable angina pectoris were selected from March 2010 to July 2014.All patients were given isosorbide dinitrate tablets 10 mg,3 times/day,Tong Xin Luo capsule 0.78 g,3 times/day,aspirin enteric-coated tablets 100 mg,1 time/day, with 13 weeks of continuous treatment.Results:In 30 patients,male to female ratio was 1.5:1;the male was the main;51 to 60 years old patients were more.The main cause was coronary artery lesion.Before treatment,ST segment depression was (1.5 ± 0.8)mm;chest pain time was (273±113)s;the movement to end time was (418±88)s.After treatment,ST segment depression was (1.1±0.6) mm;chest pain time was (345 ± 132)s;the movement to end time was (510 ± 93)s.Compared before and after treatment,the difference was statistically significant(P<0.05).After treatment,blood pressure and heart rate of 30 patients was decreased. Compared with before treatment,the difference was statistically significant(P<0.05).Conclusion:The patients with stable angina pectoris are more common in the age group of 51 to 60 year old and male.Therapeutic effect of Tong Xin Luo capsule and isosorbide dinitrate,aspirin enteric coated tablets is obvious.It is worthy of promotion.
