[1]裴金娜,刘 静,梁震峰,等.中西医结合治疗急性前壁ST段抬高型心肌梗死的临床疗效[J].医学信息,2019,32(08):166-167.[doi:10.3969/j.issn.1006-1959.2019.08.052]
 PEI Jin-na,LIU Jing,LIANG Zhen-feng,et al.Clinical Efficacy of Integrated Traditional Chinese and Western Medicine in the Treatment of Acute Anterior Wall ST-segment Elevation Myocardial Infarction[J].Journal of Medical Information,2019,32(08):166-167.[doi:10.3969/j.issn.1006-1959.2019.08.052]
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中西医结合治疗急性前壁ST段抬高型心肌梗死的临床疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年08期
页码:
166-167
栏目:
中医中药
出版日期:
2019-04-15

文章信息/Info

Title:
Clinical Efficacy of Integrated Traditional Chinese and Western Medicine in the Treatment of Acute Anterior Wall ST-segment Elevation Myocardial Infarction
文章编号:
1006-1959(2019)08-0166-02
作者:
裴金娜1刘 静1梁震峰1王小玲1李 伟1郭 鹏2
(1.迁安市中医医院心病科,河北 迁安 064400;2.迁安市老干部局医院肛肠科,河北 迁安 064400)
Author(s):
PEI Jin-na1LIU Jing1LIANG Zhen-feng1WANG Xiao-ling1LI Wei1GUO Peng2
(1.Department of Cardiology,Qian'an Traditional Chinese Medicine Hospital,Qian'an064400, Heibei,China;2.Department of Anorectal Surgery,Qian'an Old Cadre Hospital,Qian'an064400,Hebei,China)
关键词:
急性ST段抬高型心肌梗死中西医结合阳气亏虚型参附注射液
Keywords:
Acute ST-segment elevation myocardial infarctionIntegrated traditional Chinese and Western medicineYang deficiency typeShenfu injection
分类号:
R542.22
DOI:
10.3969/j.issn.1006-1959.2019.08.052
文献标志码:
A
摘要:
目的 探究中西医结合治疗急性前壁ST段抬高型心肌梗死的疗效。方法 选择2016年1月~2018年12月我院收治的急性前壁ST段抬高型心肌梗死患者(阳气亏虚型)72例,随机分为对照组和观察组,各36例。对照组采用常规西药治疗,观察组在此基础上加用参附注射液治疗,比较两组治疗总有效率、中医证候积分变化情况以及不良反应发生率。结果 观察组的治疗总有效率为97.22%,高于对照组的83.33%,差异有统计学意义(P<0.05);观察组胸痛证候积分(1.36±0.53)分、气短(1.10±0.64)分、畏寒肢冷(0.89±0.51)分、下肢浮肿(0.74±0.44)分,均少于对照组的(2.89±1.04)分、(2.13±0.96)分、(1.85±0.67)分、(1.47±0.49)分,差异有统计学意义(P<0.05);两组药物不良反应发生率比较,差异无统计学意义(P>0.05)。结论 中西医结合治疗急性前壁ST段抬高型心肌梗死效果显著,能够快速缓解急性心梗症状,且临床安全性高。
Abstract:
Objective To investigate the efficacy of integrated traditional Chinese and Western medicine in the treatment of acute anterior wall ST-segment elevation myocardial infarction.Methods 72 patients with acute anterior ST-segment elevation myocardial infarction (yang deficiency type) were enrolled in our hospital from January 2016 to December 2018. They were randomly divided into control group and observation group, 36 cases each. The group was treated with conventional western medicine. The observation group was treated with Shenfu injection. The total effective rate, TCM syndrome score and adverse reaction rate were compared between the two groups.Results The total effective rate of the observation group was 97.22%, which was higher than that of the control group 83.33%,the difference was statistically significant (P<0.05). The observation group had the score of chest pain syndrome (1.36±0.53) and shortness of breath(1.10±0.64),chills and limbs cold (0.89 ± 0.51),lower limb edema (0.74± 0.44), were less than the control group (2.89±1.04), (2.13±0.96),(1.85±0.67),(1.47±0.49), the difference was statistically significant(P<0.05); the incidence of adverse drug reactions in the two groups was not statistically significant(P>0.05).Conclusion The combination of traditional Chinese medicine and western medicine has a significant effect on acute anterior wall ST-segment elevation myocardial infarction, which can quickly relieve acute myocardial infarction symptoms and has high clinical safety.

参考文献/References:

[1]左伟慧,白丽娜.益气活血通络法联合静脉溶栓治疗急性心肌梗死临床研究[J].中医药学报,2015,43(6):87-90. [2]关宏.中西医结合治疗急性心肌梗死临床效果分析[J].血栓与止血学,2016,22(1):72-73. [3]褚庆民,吴伟,金政,等.急性ST段抬高型心肌梗死不同形态的机制及中医证型分布规律探讨[J].广州中医药大学学报,2017,34(3):313-317. [4]中华医学会心血管病学分会.急性ST段抬高型心肌梗死诊断和治疗指南[J].中华心血管病杂志,2015,43(5):675-690. [5]芮长城.中西医结合方法治疗急性心肌梗死的临床疗效[J].世界中西医结合杂志,2017,12(4):534-537.

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更新日期/Last Update: 2019-04-15