首页|益气活血方联合双联抗血小板聚集对冠心病PCI术后不稳定型心绞痛的影响

益气活血方联合双联抗血小板聚集对冠心病PCI术后不稳定型心绞痛的影响

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目的 观察益气活血方联合双联抗血小板聚集对冠心病经皮冠状动脉介入(PCI)术后不稳定型心绞痛(UA)的影响.方法 将我院84例冠心病PCI术后UA患者随机分为对照组与治疗组各42例.对照组采用双联抗血小板聚集治疗,治疗组采用益气活血方联合双联抗血小板聚集治疗.比较两组总有效率,中医证候积分总分、西雅图心绞痛调查量表(SAQ)、缺血发作次数、缺血总时间、最长持续时间、室性早搏次数、一氧化氮(NO)、内皮素-1(ET-1)、高敏C反应蛋白(hs-CRP)、低密度脂蛋白胆固醇(LDL-C)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、总胆固醇(TC)及二磷酸腺苷(ADP)、花生四烯酸(AA)抑制率.结果 治疗后,治疗组总有效率高于对照组(P<0.05);两组中医证候积分总分低于治疗前,SAQ积分高于治疗前,治疗组上述指标均优于对照组(P<0.05);两组缺血发作次数、缺血总时间、最长持续时间、室性早搏次数低于治疗前,治疗组上述指标均低于对照组(P<0.05);两组NO高于治疗前,ET-1、hs-CRP低于治疗前,治疗组上述指标均优于对照组(P<0.05);两组TG、TC、LDL-C低于治疗前,HDL-C高于治疗前,治疗组上述指标均优于对照组(P<0.05);两组AA、ADP抑制率差异无统计学意义(P>0.05).结论 益气活血方联合双联抗血小板聚集治疗提高冠心病PCI术后UA患者疗效,改善生活质量,调节血脂异常.
Effect of Yiqi Huoxue Prescription combined with dual antiplatelet aggregation on unstable angina pectoris after PCI for coronary heart disease
Objective To observe the effect of Yiqi Huoxue Prescription combined with dual antiplatelet aggregation on unstable angina pectoris(UA)after percutaneous coronary intervention(PCI)for coronary heart disease(CHD).Methods A total of 84 patients with UA after PCI for CHD were randomly divided into control group and treatment group,with 42 cases in each group.Control group was treated with dual antiplatelet aggregation therapy,while treatment group was treated with Yiqi Huoxue Prescription on the basis of control group.The total effective rate,total TCM syndrome score,Seattle angina survey scale(SAQ),number of ischemic attacks,total ischemic time,maximum duration,number of premature ventricular contractions,nitric oxide(NO),endothelin-1(ET-1),high-sensitivity C-reactive protein(hs-CRP),low-density lipoprotein cholesterol(LDL-C),triacylglycerol(TG),high-density lipoprotein cholesterol(HDL-C),total cholesterol(TC),adenosine diphosphate(ADP),and arachidonic acid(AA)inhibition rate were compared between the two groups.Results After treatment,the total effective rate of treatment group was higher than that of control group(P<0.05);the total TCM syndrome scores in both groups were lower than those before treatment,while the SAQ scores were higher,and the above indicators were superior in treatment group to those in control group(P<0.05);the number of ischemic episodes,total ischemic time,maximum duration,and the number of premature ventricular contractions in both groups were lower than those before treatment,which were lower in treatment group than control group(P<0.05);the NO in both groups was higher than that before treatment,while the ET-1 and hs-CRP were lower,and the above indicators were superior in treatment group to those in control group(P<0.05);the TG,TC,and LDL-C in both groups were lower than those before treatment,while the HDL-C was higher,and the above indicators were superior in treatment group to those in control group(P<0.05);there was no significant difference in the AA inhibition rate and ADP inhibition rate between the two groups(P>0.05).Conclusion Yiqi Huoxue Prescription combined with dual antiplatelet aggregation can improve the efficacy of UA patients after PCI for coronary heart disease,which can improve quality of life and electrocardiogram activity,and regulate dyslipidemia.

Coronary heart diseasePercutaneous coronary interventionUnstable anginaYiqi Huoxue PrescriptionDuplex antiplatelet aggregation

叶沃若、刘书宇、刘睿

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江苏省中医院/南京中医药大学附属医院,江苏南京 210000

东部战区总医院,江苏南京 210002

联勤保障部队第944医院,甘肃泉州 735099

冠心病 经皮冠状动脉介入术 不稳定型心绞痛 益气活血方 双联抗血小板聚集

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(6)