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通心络胶囊联合氯吡格雷治疗冠心病的效果

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目的 探究通心络胶囊联合氯吡格雷治疗冠心病的效果。方法 选取阜外华中心血管病医院2020年1月至2022年12月收治的100例冠心病心绞痛患者。采用随机双盲法将其分为两组,对照组患者在常规治疗的基础上口服氯吡格雷治疗;观察组在对照组基础上口服通心络胶囊进行治疗。对两组患者疗效、五聚素3(PTX-3)、白细胞分化抗原36(CD36)和白细胞分化抗原44(CD44)指标水平、心肌酶谱和炎症因子指标水平、血清指标水平以及不良反应发生情况进行对比观察。结果 研究组治疗后总有效率高于对照组(P<0。05)。研究组治疗后PTX-3、CD36以及CD44均低于对照组(P<0。05)。两组治疗后乳酸脱氢酶(LDH)、羟丁酸脱氢酶(HBDH)、超敏-C反应蛋白(hs-CRP)以及细胞间黏附分子-1(ICAM-1)水平均较同组治疗前低(P<0。05);研究组治疗后LDH、HBDH、hs-CRP以及ICAM-1水平均低于对照组(P<0。05)。经治疗后,研究组患者sCD40L、MCP-1以及sICAM-1水平均较对照组低(P<0。05)。研究组治疗后不良反应发生率低于对照组(P<0。05)。结论 通心络胶囊联合氯吡格雷治疗冠心病具有较好的治疗效果,降低患者心肌酶谱和炎症因子指标水平,调节患者血清指标作用确切,同时具有较高的治疗安全性。
Effect of Tongxinluo Capsule Combined with Clopidogrel on the Treatment of Coronary Heart Disease
Objective To explore the curative effect of Tongxinluo capsule combined with clopidogrel in the treatment of coronary heart disease.Methods A total of 100 patients with coronary heart disease and angina pectoris admitted to Huazhong Cardiovascular Hospital in Fuwai from January 2020 to December 2022 were selected.They were randomly divided into two groups using a double-blind method.The control group received oral clopidogrel treatment in addition to conventional treatment and the observation group was treated with Tongxinluo capsules orally on the basis of the control group.The therapeutic effects,levels of pentagonin-3(PTX-3),leukocyte differentiation antigen 36(CD36),and leukocyte differentiation antigen 44(CD44)indicators,myocardial enzyme spectrum and inflammatory factor indicators,serum indicator levels,and incidence of adverse reactions between two groups of patients were compared and observed.Results The total effective rate of the study group after treatment was higher than that of the control group(P<0.05).After treatment,the PTX-3,CD36,and CD44 levels in the study group were lower than those in the control group(P<0.05).After treatment,the levels of lactate dehydrogenase(LDH),hydroxybutyrate dehydrogenase(HBDH),hypersensitive C-reactive protein(hs-CRP),and intercellular adhesion molecule-1(ICAM-1)were lower in both groups than those before treatment(P<0.05).After treatment,the levels of LDH,HBDH,hs-CRP,and ICAM-1 in the study group were lower than those in the control group(P<0.05).After treatment,the levels of sCD40L,MCP-1,and sICAM-1 in the study group were lower than those in the control group(P<0.05).Conclusion Tongxinluo capsule combined with clopidogrel has a good therapeutic effect on coronary heart disease,which can reduce the level of myocardial zymogram and inflammatory factors and regulate the serum indexes of patients.At the same time,it has high treatment safety.

Tongxinluo capsuleclopidogrelcoronary heart diseasecurative effect

鲍鑫宇、王贺、李赛赛、胡振杰、杜鹏强

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阜外华中心血管病医院中医科,河南郑州 450046

阜外华中心血管病医院心脏重症医学科,河南郑州 450046

阜外华中心血管病医院药学部,河南郑州 450046

通心络胶囊 氯吡格雷 冠心病 疗效

河南省医学科技攻关计划(联合共建)项目

LHGJ20190814

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(7)
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