首页|血府逐瘀胶囊联合参麦注射液治疗冠心病心绞痛的效果观察

血府逐瘀胶囊联合参麦注射液治疗冠心病心绞痛的效果观察

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目的:研究血府逐瘀胶囊联合参麦注射液治疗冠心病心绞痛效果.方法:选择2020年1月—2022年12月天津市河东区鲁山道街社区卫生服务中心收治的 108 例冠心病心绞痛患者,随机分为对照组和观察组,每组54 例.对照组采用参麦注射液,观察组采用血府逐瘀胶囊联合参麦注射液.比较两组中医证候积分、心功能[左室收缩末容积(LVESV),每搏量(SV),左室舒张末期内径(LVEDD),左室射血分数(LVEF),心脏指数(CI),左室收缩末期内径(LVESD)]、炎症因子[基质金属蛋白酶(MMP-9)、白细胞介素-8(IL-8)、可溶性细胞间黏附分子 1(sICAM-1)和超敏C反应蛋白(hs-CRP)].结果:治疗后,观察组胸痛、气短、口中黏腻感、胸闷和乏力倦怠积分低于对照组(P<0.05);观察组LVESV、SV、LVEDD、LVEF、CI和LVESD优于对照组(P<0.05);观察组血清MMP-9、IL-8、sICAM-1 和hs-CRP水平低于对照组(P<0.05).结论:血府逐瘀胶囊联合参麦注射液在缓解冠心病心绞痛患者临床症状、改善心功能、抑制炎症因子方面具有积极作用.
Effect Observation of Xuefu Zhuyu Capsules Combined with Shenmai Injection in Treatment of Angina Pectoris of Coronary Heart Disease
Objective:To study the effect of Xuefu Zhuyu capsules combined with Shenmai injection in treatment of angina pectoris of coronary heart disease.Methods:A total of 108 patients with coronary heart disease and angina pectoris admitted to Lushan Street Community Health Service Center of Hedong District of Tianjin from January 2020 to December 2022 were selected and randomly divided into control group and observation group,with 54 patients in each group.The control group was treated with Shenmai injection,and the observation group was treated with Xuefu Zhuyu capsule combined with Shenmai injection.The TCM syndrome scores,cardiac function[left ventricular end-systolic volume(LVESV),stroke volume(SV),left ventricular end-diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF),cardiac index(CI),left ventricular end-systolic diameter(LVESD)],inflammatory factors[matrix metalloproteinase(MMP-9),interleukin-8(IL-8),soluble intercellular adhesion molecule-1(sICAM-1)and high-sensitivity C-reactive protein(hs-CRP)]were compared between the two groups.Results:After treatment,the scores of chest pain,shortness of breath,sticky sensation in the mouth,chest tightness and fatigue burnout in the observation group were lower than those in the control group(P<0.05).LVESV,SV,LVEDD,LVEF,CI and LVESD in the observation group were better than those in the control group(P<0.05).The levels of serum MMP-9,IL-8,sICAM-1 and hs-CRP in the observation group were lower than those in the control group(P<0.05).Conclusion:Xuefu Zhuyu capsule combined with Shenmai injection has a positive effect on relieving clinical symptoms,improving cardiac function and inhibiting inflammatory factors in patients with coronary heart disease and angina pectoris.

Xuefu Zhuyu capsulesShenmai injectionAngina pectoris

王靓、宁宏、宫垒

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天津市河东区鲁山道街社区卫生服务中心中药房,天津 300202

天津市河东区中医医院药剂科,天津 300160

武警特色医学中心内科,天津 300162

血府逐瘀胶囊 参麦注射液 冠心病心绞痛

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(6)
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