首页|血脂康胶囊联合氨氯地平与阿托伐他汀钙治疗高血压合并冠心病患者的效果

血脂康胶囊联合氨氯地平与阿托伐他汀钙治疗高血压合并冠心病患者的效果

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目的:观察血脂康胶囊联合氨氯地平与阿托伐他汀钙治疗高血压合并冠心病患者的效果.方法:选取2021年3月至2023年2月该院收治的150例高血压合并冠心病患者进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各75例.对照组采用阿托伐他汀钙片联合磺酸氨氯地平片治疗,研究组在对照组基础上联合血脂康胶囊治疗,比较两组临床疗效,治疗前后心功能指标[左心室收缩期末内径(LVESD)、左心室舒张期末内径(LVEDD)]水平、心肌损伤标志物[肌酸激酶同工酶(CK-MB)、肌钙蛋白I(cTnI)、氨基末端脑钠肽前体(NT-proBNP)]水平、脂代谢指标[总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)]水平,以及不良反应发生率.结果:研究组治疗总有效率为 92.00%(69/75),高于对照组的 80.00%(60/75),差异有统计学意义(P<0.05);治疗后,两组LVESD、LVEDD水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组cTnI、CK-MB、NT-proBNP水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组TC、TG、LDL-C水平均低于治疗前,且研究组低于对照组,两组HDL-C水平均高于治疗前,且研究组高于对照组,差异有统计学意义(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:血脂康胶囊联合氨氯地平与阿托伐他汀钙治疗高血压合并冠心病患者可提高治疗总有效率,改善脂代谢指标水平,降低心功能指标和心肌损伤标志物水平,其效果优于阿托伐他汀钙片联合磺酸氨氯地平片治疗.
Effects of Xuezhikang capsules combined with Amlodipine and Atorvastatin calcium in treatment of patients with hypertension complicated with coronary heart disease
Objective:To observe effects of Xuezhikang capsules combined with Amlodipine and Atorvastatin calcium in treatment of patients with hypertension complicated with coronary heart disease.Methods:A prospective study was conducted on 150 patients with hypertension and coronary heart disease admitted to this hospital from March 2021 to February 2023.According to the random number table method,they were divided into study group and control group,75 cases in each group.The control group was treated with Atorvastatin calcium tablets combined with Amlodipine sulfonate tablets,while the study group was treated with Xuezhikang capsules on the basis of those of the control group.The clinical efficacy,the cardiac function indexes[left ventricular end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVEDD)]levels,the myocardial injury markers[creatine kinase isoenzyme(CK-MB),troponin I(cTnI),N-terminal pro-brain natriuretic peptide(NT-proBNP)]levels,the lipid metabolism indexes[total cholesterol(TC),triglyceride(TG),low density lipoprotein(LDL-C),high density lipoprotein(HDL-C)]levels before and after treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 92.00%(69/75),which was higher than 80.00%(60/75)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of LVESD and LVEDD in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of cTnI,CK-MB and NT-proBNP in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of TC,TG and LDL-C in the two groups were lower than those before the treatment,and those in the study group were lower than those in the control group;the HDL-C levels of the two groups were higher than those before the treatment,and that in the study group was higher than that in the control group;and the difference was statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Xuezhikang capsules combined with Amlodipine and Atorvastatin calcium in the treatment of the patients with hypertension and coronary heart disease can improve the total effective rate of treatment,improve the levels of lipid metabolism indexes,and reduce the levels of cardiac function indexes and myocardial injury markers.Moreover,it is superior to Atorvastatin calcium tablets combined with Amlodipine sulfonate tablets treatment.

Xuezhikang capsulesAmlodipineAtorvastatin calciumHypertensionCoronary heart diseaseLipid metabolismMyocardial injury marker

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北京市房山区河北镇社区卫生服务中心全科,北京 102417

血脂康胶囊 氨氯地平 阿托伐他汀钙 高血压 冠心病 脂代谢 心肌损伤标志物

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(7)
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