首页|注射用益气复脉冻干对冠心病心绞痛患者心功能及主要不良心血管事件的影响

注射用益气复脉冻干对冠心病心绞痛患者心功能及主要不良心血管事件的影响

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目的 探讨注射用益气复脉冻干对冠心病心绞痛患者心功能及主要不良心血管事件(MACE)的影响.方法 选取2020年5月至2022年12月郑州人民医院收治的94例冠心病心绞痛患者,按照随机数字表法分为两组,每组47例.对照组接受常规治疗,观察组接受常规治疗联合注射用益气复脉冻干治疗.比较两组中医证候积分、心功能指标[左室收缩末期容积(LVESV)、左室舒张末期压力(LVEDP)、左室射血分数(LVEF)]、MACE及不良反应发生情况.结果 治疗2周后两组主症、次症、舌脉中医证候积分较治疗前降低,且观察组低于对照组(P<0.05);LVEDP、LVESV较治疗前降低,LVEF较治疗前升高,且观察组LVEDP、LVESV低于对照组,LVEF高于对照组(P<0.05).治疗2周后观察组MACE总发生率低于对照组(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 注射用益气复脉冻干可改善冠心病心绞痛患者症状,改善心功能,减少MACE的发生且安全性好.
Effects of Yiqi Fumai injection lyophilized on Cardiac Function and Major Adverse Cardiovascular Events in Patients with Coronary Heart Disease and Angina Pectoris
Objective To investigate the effect of Yiqi Fumai injection lyophilized on cardiac function and major adverse cardiovascular events(MACE)in patients with coronary heart disease and angina pectoris.Methods A total of 94 patients with coronary heart disease and angina pectoris admitted to Zhengzhou People's Hospital from May 2020 to December 2022 were randomly divided into two groups,with 47 patients in each group.The control group received routine treatment,while the observation group received routine treatment combined with Yiqi Fumai injection lyophilized treatment.The traditional Chinese medicine syndrome score,cardiac function indicators[left ventricular end systolic volume(LVESV),left ventricular end diastolic pressure(LVEDP),left ventricular ejection fraction(LVEF)],MACE,and adverse reactions between the two groups were compared.Results After 2 weeks of treatment,the traditional Chinese medicine syndrome scores of main symptoms,secondary symptoms,and tongue pulse in the two groups were lower than those before treatment,and the observation group was lower than the control group(P<0.05).LVEDP and LVESV in the two groups were lower than before treatment,while LVEF was higher than before treatment.LVEDP and LVESV in the observation group were lower than those in the control group,while LVEF was higher than that in the control group(P<0.05).After 2 weeks of treatment,the total incidence of MACE in the observation group was lower than that in the control group(P<0.05).The incidence of adverse reactions between the two groups was not significant(P>0.05).Conclusion Yiqi Fumai injection lyophilized can improve the symptoms of patients with coronary heart disease and angina pectoris,improve cardiac function,reduce the occurrence of MACE,and have good safety.

coronary heart diseaseangina pectorisYiqi Fumai injection lyophilizedtraditional Chinese medicine syndrome scorescardiac function

冯红霞、张心雨

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郑州人民医院心血管内科,河南郑州 450000

冠心病 心绞痛 注射用益气复脉冻干 中医证候积分 心功能

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(3)
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