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尼可地尔联合丹红注射液对心肌缺血再灌注损伤患者的疗效

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目的 探讨尼可地尔联合丹红注射液对心肌缺血再灌注损伤(MIRI)患者治疗的疗效。方法 选取2021年1月至2023年10月在海警医院行经皮冠状动脉介入治疗术后的108例冠心病患者作为研究对象,按照随机数字表法分成对照组(单纯尼可地尔治疗)和联合组(尼可地尔联合丹红注射液治疗),各50例。比较2组治疗前后的丙二醛(MDA)、超氧化物歧化酶(SOD)、肌酸激酶同工酶(CK-MB)、超敏C反应蛋白(hs-CRP)、左心室射血分数(LVEF)、促心肌素(CT-1)水平及治疗后的临床症状、临床疗效、药物不良反应。结果 与治疗前相比,联合组和对照组治疗后的MDA、hs-CRP、CK-MB、CT-1均降低;且联合组低于对照组(t=3。893、4。745、3。949、9。467,P均<0。05);治疗后,2组SOD、LVEF均升高;治疗后联合组高于对照组(t=7。463、5。833,P<0。05)。联合组心功能、心电图及心律失常改善时间均短于对照组(t=3。463、3。843、3。89,P均<0。05);联合组治疗有效率高于对照组(85。2%与53。7%,x2=12。620,P<0。05)。2组均未见严重用药不良反应。结论 尼可地尔联合丹红注射液治疗可改善心肌缺血再灌注损伤患者的心肌供血和心功能,降低缺血性心肌损伤发生,且安全性高。
Effects of nicorandil combined with Danhong injection on patients with myocardial ischemia-reperfusion injury
Objective To explore the clinical efficacy of Nicorandil combined with Danhong Injection in the treatment of myocardial ischemia-reperfusion injury (MIRI). Methods A total of 108 patients with coronary heart disease who underwent percutaneous coronary intervention in Coast Guard Hospital,from January 2021 to October 2023 were prospectively selected as the study subjects. They were randomly divided into a control group (treated with nicorandil alone) and a combination group (treated with nicorandil combined with Danhong injection) using a random number table method,with 50 patients in each group. The levels of MDA,SOD,CK-MB,hs-CRP,LVEF,and CT-1 before and after treatment,as well as the clinical symptoms,clinical efficacy,and adverse drug reactions after treatment,were compared between the two groups. Results Compared with before treatment,the MDA,hs-CRP,CK-MB,and CT-1 levels in the combination group and control group decreased after treatment. And the combined group was lower than the control group (t=3.893,4.745,3.949,9.467,all P<0.05). After treat-ment,both groups showed an increase in SOD and LVEF. After treatment,the combination group showed higher levels than the control group (t=7.463,5.833,P<0.05). The improvement time of cardiac function,electrocardio-gram,and arrhythmia in the combined group was shorter than that in the control group (t=3.463,3.843,3.89,all P<0.05);the effective rate of treatment in the combined group was higher than that in the control group (85.2% vs 53.7%,x2=12.620,P<0.05). No serious adverse drug reactions were observed in both groups. Conclusion Com-bination of nicorandil and Danhong injection can improve myocardial blood supply and function in patients with myocardial ischemia-reperfusion injury,reduce the occurrence of ischemic myocardial injury,and has high safety.

NicorandilDan Hong Zhu She YeMyocardial reperfusion injuryTreatment outcome

罗斌斌、吕英俊

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海警医院心血管内科,浙江嘉兴 314000

尼可地尔 丹红注射液 心肌再灌注损伤 治疗结果

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(24)