首页|胺碘酮联合中成药稳心颗粒对不稳定型心绞痛并室性心律失常患者的疗效和安全性分析

胺碘酮联合中成药稳心颗粒对不稳定型心绞痛并室性心律失常患者的疗效和安全性分析

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目的 对不稳定型心绞痛合并室性心律失常采用胺碘酮联合稳心颗粒进行治疗的效果通过调查研究进行论证.方法 选取2014年2月~2016年5月长兴县中医院治疗的患有不稳定性心绞痛合并室性心律失常的患者中选取了80例患者,随机分为观察组和对照组,每组40例.对2组患者采用常规扩血管抗凝抗血小板进行治疗,在常规治疗基础上,观察组采用胺碘酮联合稳心颗粒,而对照组在常规治疗上仅加用胺碘酮,对两组治疗方案的疗效进行对比.结果 经过1个疗程的治疗后,观察组的患者平均24 h内心肌缺血的次数以及心绞痛发生次数少于对照组,累积硝酸甘油用量少于对照组(P<0.05),同时,观察组在随访期间室颤发生率以及室性早搏率均低于对照组;而且不良反应发生率也低于对照组.结论 经过对观察组和对照组的对比,使用胺碘酮联合稳心颗粒治疗不稳定型心绞痛合并室性心律失常疗效及安全性要比单纯会用胺碘酮要好.而且经过联合使用的治疗方案后,患者的部分室性心率失常发生的次数、心绞痛的发生次数等都有所降低,相比单纯使用胺碘酮,不良反应少,而且安全性也得到了提高.
Efficacy and safety analysis of combination use of Amiodarone and Wenxin granule in the treatment of unstable angina pectoris complicated with ventricular arrhythmia
Objective To investigate the efficacy of Amiodarone combined with Wenxin granule in the treatment of unstable angina pectoris complicated with ventricular arrhythmia. Methods A total of 80 patients with unstable angina pectoris complicated with ventricular arrhythmias from February 2014 to May 2016 were randomly divided into the observation group and the control group, with 40 patients in each group. Two groups were treated with conventional dilatation vascular anticoagulation and antiplatelet treatment, on the basis of routine treatment, the observation group was given Amiodarone combined with Wenxin granule, and the control group was given Amiodarone plus conventional treatment, the effects of the treatment in two groups were compared. Results After a course of treatment, the average times within 24 hours of myocardial ischemia and angina occurred of patients in the control group were less than the control group, the cumulative dosage of nitroglycerin is less than the control group (P<0.05), at the same time, the control group during the follow-up period, the incidence of ventricular fibrillation and ventricular rate was lower than the control group. The incidence of adverse reactions was also lower than that of the control group. Conclusion Compared with the control group and the control group, the efficacy and safety of Amiodarone combined with Wenxin granule in the treatment of unstable angina pectoris complicated with ventricular arrhythmias are better than Amiodarone alone. After combination treatment, the times of partial ventricular arrhythmias and angina pectoris in patients were reduced with less adverse reactions and better safety, compared with single use of Amiodarone.

amiodaroneWenxin granuleunstable angina pectoris complicated with ventricular arrhythmiaproject approachment

王秋华、许让贤、董艳

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长兴县中医院 药剂科,浙江 长兴 313100

胺碘酮 稳心颗粒 不稳定型心绞痛合并室性心律失常

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(10)
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