世界复合医学2024,Vol.10Issue(4) :94-97,102.DOI:10.11966/j.issn.2095-994X.2024.10.04.24

麝香保心丸与替罗非班联用治疗急性心肌梗死的效果及对血清ITLN-1,sICAM-1水平的影响

Effect of Shexiang Baoxin Pill Combined with Tirofiban on Acute Myocardial Infarction and In-fluence of Serum ITLN-1 and SICAM-1 Levels

姜冰玉
世界复合医学2024,Vol.10Issue(4) :94-97,102.DOI:10.11966/j.issn.2095-994X.2024.10.04.24

麝香保心丸与替罗非班联用治疗急性心肌梗死的效果及对血清ITLN-1,sICAM-1水平的影响

Effect of Shexiang Baoxin Pill Combined with Tirofiban on Acute Myocardial Infarction and In-fluence of Serum ITLN-1 and SICAM-1 Levels

姜冰玉1
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作者信息

  • 1. 甘肃省第三人民医院急诊科,甘肃 兰州 730020
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摘要

目的 分析麝香保心丸与替罗非班联用治疗急性心肌梗死(acute myocardial infarction,AMI)的效果及对血清内凝集蛋白-1(intelectin-1,ITLN-1)、可溶性细胞间黏附分子-1(soluble inter-celluar adhesion molecule 1,sICAM-1)水平的影响.方法 回顾性选取甘肃省第三人民医院于2021年7月—2023年7月收治的90例AMI患者的临床资料,按照不同用药方式分为对照组(n=45)与观察组(n=45),分别采用替罗非班、麝香保心丸联合替罗非班治疗.比较两组疗效,治疗前后血清ITLN-1,sICAM-1水平,心功能[左室射血分数(left ventricular ejection fractions,LVEF)、左室收缩期内径(left ventricular systolic diameter,LVESD)、左室舒张末期内径(left ventricular end diastolic diameter,LVEDD)].结果 观察组治疗总有效率(95.56%)高于对照组(82.22%),差异有统计学意义(χ2=4.050,P<0.05).治疗前,两组血清ITLN-1、sICAM-1、相关心功能指标(LVEF、LVESD、LVEDD)比较,差异无统计学意义(P均>0.05).治疗后,与对照组比较,观察组ITLN-1更高,sICAM-1水平更低,差异有统计学意义(P均<0.05).观察组治疗后LVEF高于对照组,LVEDD、LVESD低于对照组,差异有统计学意义(P均<0.05).结论 麝香保心丸联合替罗非班治疗AMI疗效显著,联合用药能显著提升ITLN-1水平、降低sICAM-1水平、改善患者心功能.

Abstract

Objective To analyze the curative effect of Shexiang Baoxin pill combined with Tirofiban on acute myocardial infarction(AMI)and the influence of serum intelectin-1(ITLN-1)and soluble intercelluar ad-hesion molecule 1(sICAM-1).Methods The clinical data of ninety patients with AMI admitted to Gansu Prov-ince Third People's Hospital from July 2021 to July 2023 were retrospectively selected,and they were divided into control group(n=45,treated with tirofiban)and observation group(n=45,treated with Shexiang Baoxin pill combined with tirofiban)according to different medication methods.The therapeutic effect,serum ITLN-1,sI-CAM-1 levels,cardiac function[left ventricular ejection fraction(LVEF),left ventricular systolic diameter(LVESD),left ventricular end diastolic diameter(LVEDD)]levels before and after treatment of the two groups were compared.Results The total effective rate of the observation group(95.56%)was higher than that of the control group(82.22%),and the difference was statistically significant(χ2=4.050,P<0.05).There were no sig-nificant differences in serum ITLN-1,sICAM-1 and related cardiac function indexes(LVEF,LVESD,LVEDD)between the two groups before treatment(all P>0.05).After treatment,ITLN-1 was higher and sICAM-1 level was lower in observation group than those in control group,and the differences were statistically significant(both P<0.05).After treatment,LVEF in observation group was higher than that in control group,LVEDD and LVESD were lower than that in control group,and the differences were statistically significant(all P<0.05).Conclusion Shexiang Baoxin pill combined with tirofiban has significant curative effect in the treatment of AMI,which can significantly increase the level of ITLN-1,reduce the level of sICAM-1 and improve the car-diac function of patients.

关键词

麝香保心丸/替罗非班/急性心肌梗死/内凝集蛋白-1/可溶性细胞间黏附分子-1

Key words

Shexiang Baoxin pill/Tirofiban/Acute myocardial infarction/Intelectin-1/Soluble intercel-lular adhesion molecule-1

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出版年

2024
世界复合医学

世界复合医学

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