首页|丹参川芎嗪注射液联合曲美他嗪对不稳定型心绞痛患者心电图、心功能的影响

丹参川芎嗪注射液联合曲美他嗪对不稳定型心绞痛患者心电图、心功能的影响

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[目的]探讨丹参川芎嗪注射液联合曲美他嗪对不稳定型心绞痛(UAP)患者心电图、心功能的影响.[方法]回顾性分析2021年1月至2023年5月本院收治的106例UAP患者的临床资料,根据治疗方法的不同将其分为对照组和观察组,每组53例.对照组采用曲美他嗪治疗,观察组采用丹参川芎嗪注射液+曲美他嗪治疗.比较两组临床疗效、发作频率、硝酸甘油用量、持续时间、心功能指标[心排血量(CO)、左心室射血分数(LVEF)、每搏输出量(SV)]、心电图变化情况[ST段压低幅度、ST段压低次数]、血清生化指标[血管生成素样蛋白2(Angptls2)、氧化型低密度脂蛋白(ox-LDL)、C1q肿瘤坏死因子相关蛋白1(CTRP1)]及不良反应发生情况.[结果]观察组有效率高于对照组,差异有统计学意义(P<0.05).治疗后,两组发作频率、硝酸甘油用量、持续时间少于治疗前,且观察组少于对照组(P<0.05);两组CO、LVEF、SV均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组ST段压低幅度、ST段压低次数均低于治疗前,且观察组低于对照组(P<0.05);两组血清Angptls2、ox-LDL、CTRP1水平低于治疗前,且观察组低于对照组(P<0.05).两组不良反应发生情况比较,差异无统计学意义(P>0.05).[结论]丹参川芎嗪注射液联合曲美他嗪治疗UAP临床疗效较好,有助于减轻患者症状,改善心功能,安全性高.
The Effects of Danshen Chuanxiongqin Injection Combined with Trimetazidine on Electrocardiogram and Cardiac Function Levels in Patients with Unstable Angina Pectoris
[Objective]To explore the effects of Danshen Chuanxiongqin Injection combined with Trimetazidine on e-lectrocardiogram and cardiac function in patients with unstable angina pectoris(UAP).[Methods]A retrospective analysis was conducted on the clinical data of 106 UAP patients admitted to our hospital from January 2021 to May 2023.According to different treatment methods,they were divided into a control group and an observation group,with 53 cases in each group.The control group was treated with trimetazidine,while the observation group was treated with Danshen Chuanxion-gqin Injection+trimetazidine.We compared between two groups in terms of the clinical efficacy,seizure frequency,nitro-glycerin dosage,duration,cardiac function[cardiac output(CO),left ventricular ejection fraction(LVEF),stroke output(SV)],and electrocardiogram changes[ST segment depression amplitude],ST segment depression frequency,serum bio-chemical indicators,angiopoietin like protein 2(Angptls2),oxidized low-density lipoprotein(ox-LDL),C1q tumor necrosis factor related protein 1(CTRP1)and occurrence of adverse reactions.[Results]The effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the seizure frequency,nitroglycerin dosage,and duration of the two groups were lower than before treatment,and the observa-tion group was lower than the control group(P<0.05);CO,LVEF and SV of two sets were both higher than those be-fore treatment,and the observation group was higher than the control group,with a statistically significant difference(P<0.05);The ST segment depression amplitude and the number of ST segment depressions of two groups were lower than those before treatment,and the observation group was lower than the control group(P<0.05);The levels of Serum An-gptls2,ox-LDL and CTRP1 of the two groups were lower than those before treatment,and the observation group was low-er than the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).[Conclusion]The combination of Danshen Chuanxiongqin Injection and Trimetazidine has a good clinical efficacy in the treatment of UAP,which helps to alleviate patient symptoms,improve heart function,and has high safety.

Angina,Unstable/DTDanshen Chuanxiongqin Zhusheye/TUTrimetazidine/TUElec-trocardiography

何照国、邹洋

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中国人民解放军联勤保障部队第九八九医院,河南 洛阳 471000

心绞痛,不稳定型/药物疗法 丹参川芎嗪注射液/治疗应用 曲美他嗪/治疗应用 心电描记术

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(5)