首页|丹参川芎嗪注射液联合硝酸异山梨酯治疗心肌缺血患者的临床疗效及安全性观察

丹参川芎嗪注射液联合硝酸异山梨酯治疗心肌缺血患者的临床疗效及安全性观察

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目的 探讨丹参川芎嗪注射液联合硝酸异山梨酯治疗心肌缺血患者的临床疗效及安全性.方法 选取2015年1月~2016年7月衢州市中医院收治的心肌缺血患者78例,随机分为2组,各39例.对照组给予硝酸异山梨酯治疗,观察组给予丹参川芎嗪注射液联合硝酸异山梨酯治疗.分析2组患者治疗后的临床疗效,比较2组患者治疗前后心电图变化、甘油三酯(TG)、血清总胆固醇(TC)、全血黏度高切和全血黏度低切水平和治疗过程中不良反应情况.结果 治疗后,观察组总有效率为89.74%,显著高于对照组66.67%,差异具有显著性(P<0.05).治疗后,2组患者的ST段压低发生次数和ST段压低持续时间均低于治疗前(P<0.05),观察组治疗后ST段压低发生次数和ST段压低持续时间均低于对照组(P<0.05).治疗后,2组患者的TG和TC水平均低于治疗前(P<0.05),观察组TG和TC水平均低于对照组(P<0.05).治疗后,2组患者的全血黏度高切和全血黏度低切水平均低于治疗前(P<0.05),观察组全血黏度高切和全血黏度低切水平均低于对照组(P<0.05).2组治疗过程中不良反应率比较差异无统计学意义.结论 丹参川芎嗪注射液联合硝酸异山梨酯可有效治疗心肌缺血症,效果优于单独使用硝酸异山梨酯,且不会增加患者不良反应,安全性高.
Clinical efficacy and safety of Danshen Chuanxiongqin injection combined with Isosorbide dinitrate in the treatment of myocardial ischemia
Objective To observe the clinical efficacy and safety of Danshen Chuanxiongqin injection combined with Isosorbide dinitrate on the treatment of myocardial ischemia.Methods 78 patients with myocardial ischemia from January 2015 to July 2016 were divided into the observation group and the control group, with 39 cases in each group.The control group received Isosorbide dinitrate therapy, the observation group received Danshen Chuanxiongqin injection joint Isosorbide dinitrate therapy.To analysis the clinical efficacy,electrocardiogram, TG,TC,the whole blood high and low-shear viscosities and adverse reactions between two groups.Results After treatment, total effective rate of the observation group was 89.74%, higher than the control group with 66.67%( P<0.05 ) .After treatment, ST segment depression occurred frequency and ST segment depression duration time of two groups were lower than before treatment(P<0.05),ST segment depression occurred frequency and ST segment depression duration time of observation group were lower than the control group (P<0.05).After treatment, TG and TC level of two groups were lower than before treatment(P<0.05),TG and TC level of the observation group were lower than the control group (P<0.05).After treatment,the whole blood high and low-shear viscosities of two groups were lower than before treatment(P<0.05),the whole blood high and low-shear viscosities of the observation group were lower than the control group ( P <0.05 ) .During treatment, there was no significant difference in adverse reaction rate between the two groups.Conclusion Danshen Chuanxiongqin injection combing with Isosorbide dinitrate has a better efficacy on the treatment of myocardial ischemia than only Isosorbide dinitrate ,and it is a safe treatment therapy.

Danshen Chuanxiongqin injectionIsosorbide dinitratemyocardial ischemiaclinical efficacysafety

蔡海霞、王体华、魏臻

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衢州市中医院 心内科,浙江 衢州 324000

丹参川芎嗪注射液 硝酸异山梨酯 心肌缺血 临床疗效 安全性

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(2)
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