首页|麝香保心丸联合美托洛尔治疗冠心病不稳定型心绞痛的疗效观察

麝香保心丸联合美托洛尔治疗冠心病不稳定型心绞痛的疗效观察

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目的 探讨麝香保心丸联合美托洛尔在治疗冠心病不稳定性心绞痛中的临床疗效及安全性,为临床提供更为有效的治疗策略。方法 分析 2022 年 1 月至 2023 年 12 月期间河南中医药大学第一附属医院 100 例冠心病不稳定心绞痛患者,根据治疗方案分组,分为对照组(n=50,实施美托洛尔治疗)、实验组(n=50,在对照组治疗基础上使用麝香保心丸治疗),观察两组患者血脂水平、心功能情况、心绞痛发作情况、药物不良反应发生情况。结果 治疗前,两组患者血脂水平对比差异无统计学意义(P>0。05);治疗后,实验组患者高密度脂蛋白胆固醇(HDL-C)水平高于对照组,低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)、总胆固醇(TC)水平均低于对照组,差异均有统计学意义(P<0。05)。治疗前,两组患者心功能指标对比差异无统计学意义(P>0。05);治疗后,实验组患者左心室舒张末期内径(LVEDd)水平低于对照组,左室射血分数(LVEF)水平高于对照组,差异均有统计学意义(P<0。05)。实验组患者心绞痛发作间期长于对照组,心绞痛发作频率及持续发作时间均短于对照组,差异均有统计学意义(P<0。05)。两组药物不良反应发生率对比,实验组不良反应发生率较低,差异具有统计学意义(P<0。05)。结论 麝香保心丸联合美托洛尔治疗冠心病不稳定性心绞痛,能显著减少心绞痛发作,改善心功能,且其安全性良好。
Efficacy Observation of Musk Zhenxin Pills Combined with Metoprolol in the Treatment of Unstable Angina Pectoris in Coronary Heart Disease
Objective To explore the clinical efficacy and safety of Musk Zhenxin Pills combined with Metoprolol in the treatment of unstable angina pectoris in coronary heart disease,and to provide a more effective treatment strategy for clinical practice.Methods Analyzed 100 cases of patients with unstable angina pectoris in coronary heart disease admitted to The First Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2022 to December 2023.According to the treatment plan,they were divided into control group(n=50,Metoprolol treatment)and experimental group(n=50,Musk Zhenxin Pills treatment on the basis of the control group treatment).The blood lipid level,cardiac function,angina attack,and adverse drug reactions of the two groups of patients were observed.Results Before treatment,there was no statistical significance in the comparison of blood lipid levels between the two groups(P>0.05);after treatment,the high-density lipoprotein cholesterol(HDL-C)level of the experimental group was higher than that of the control group,and the low-density lipoprotein cholesterol(LDL-C),triglyceride(TG),total cholesterol(TC)levels were all lower than the control group,and the differences were statistically significant(P<0.05).Before treatment,there was no statistical significance in the comparison of cardiac function indicators between the two groups(P>0.05);after treatment,the left ventricular end-diastolic diameter(LVEDd)level of the experimental group was lower than that of the control group,and the left ventricular ejection fraction(LVEF)level was higher than the control group,and the differences were statistically significant(P<0.05).The interval of angina attack in the experimental group was longer than that in the control group,and the frequency and duration of continuous attack were shorter than those in the control group,and the differences were statistically significant(P<0.05).Compared with the incidence of adverse drug reactions in the two groups,the incidence of adverse reactions in the experimental group was lower,and the difference was statistically significant(P<0.05).Conclusion Musk Zhenxin Pills combined with Metoprolol in the treatment of unstable angina pectoris in coronary heart disease can significantly reduce angina attacks,improve cardiac function,and its safety is good.

coronary heart diseaseunstable angina pectorismusk Zhenxin pillscombined treatment

夏晗、胡旭红

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河南中医药大学第一附属医院 心血管科,河南 郑州 450000

冠心病 不稳定型心绞痛 麝香保心丸 联合治疗

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(7)