首页|口服小剂量利伐沙班治疗不稳定型心绞痛的临床疗效研究

口服小剂量利伐沙班治疗不稳定型心绞痛的临床疗效研究

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目的:观察口服小剂量利伐沙班治疗不稳定型心绞痛(UAP)的临床疗效.方法:选取2022年1月至2023年12月瑞金市人民医院收治的UAP患者110例,通过随机数表法分为对照组和观察组,各55例.对照组采取常规治疗,观察组在常规治疗的基础上口服小剂量利伐沙班.比较两组的临床疗效、心绞痛发作次数及持续时间、血生化指标、不良事件发生率.结果:出院后1个月、2个月及3个月,观察组治疗总有效率均高于对照组,差异有统计学意义(P<0.05).治疗后,研究组心绞痛发作次数、持续时间及血清丙二醛、超氧化物歧化酶、一氧化氮水平均较对照组更优,差异有统计学意义(P<0.05).治疗期间,观察组不良事件发生率9.09%,稍高于对照组的7.27%,两组相比差异无统计学意义(P>0.05).结论:口服小剂量利伐沙班治疗UAP疗效显著,可有效缓解患者的心绞痛症状,改善丙二醛、超氧化物歧化酶、一氧化氮等血生化指标,安全性高.
Clinical efficacy of oral low-dose rivaroxaban in the treatment of unstable angina pectoris
Objective:To observe the clinical efficacy of oral low-dose rivaroxaban(2.5mg bid)in the treatment of unstable angina pectoris(UAP).Methods:110 patients with unstable angina pectoris(UAP)admitted to Ruijin People's Hospital from January 2022 to December 2023 were selected and divided into control group and observation group by random number table method,with 55 cases in each group.The control group was given conventional treatment,while the observation group was given low-dose rivaroxaban based on conventional treatment.The clinical efficacy,frequency and duration of angina pectoris attacks,blood biochemical indexes and incidence of adverse events were compared between the two groups.Results:At 1,2,and 3 months after discharge,the total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the frequency and duration of angina attacks,as well as the levels of serum malondialdehyde,superoxide dismutase,and nitric oxide in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).During the treatment period,the incidence of adverse events in the observation group was 9.09%,slightly higher than the 7.27%in the control group,and the difference between the two groups was not statistically significant(P>0.05).Conclusion:Oral low-dose rivaroxaban has significant therapeutic effects on UAP,which can effectively relieve the symptoms of angina pectoris in patients,improve blood biochemical indexes such as malondialdehyde,superoxide dismutase and nitric oxide,and reduce the incidence of adverse events.

Oral administrationLow doseRivaroxabanUnstable angina pectoris(UAP)

杜海龙、刘涛

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瑞金市人民医院,江西 赣州 342500

口服 小剂量 利伐沙班 不稳定型心绞痛

2024

延边大学医学学报
延边大学

延边大学医学学报

影响因子:0.308
ISSN:1000-1824
年,卷(期):2024.47(4)