首页|中医治疗对心肌梗死患者介入治疗后心肌再灌注和心功能的改善作用

中医治疗对心肌梗死患者介入治疗后心肌再灌注和心功能的改善作用

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目的:探究和分析心肌梗死患者介入治疗后应用中医治疗改善患者心功能和心肌再灌注的效果。方法:选取2022年5月—2023年5月湖南中医药大学附属垫江中医院收治的70例心肌梗死患者作为研究对象,采用单双号法进行分组,35例分到单号者纳入对照组,35 例分到双号者纳入观察组。对照组采用西医(阿司匹林、氯吡格雷)治疗,观察组采用中医(益气通痹汤)治疗,比较两组治疗前后心肌功能(心肌肌钙蛋白、肌酸激酶同工酶)、心功能(每搏输出量、左室射血分数)、心肌再灌注率及不良反应发生率。结果:两组治疗前心肌功能、心功能比较,差异无统计学意义(P>0。05);观察组治疗后心肌肌钙蛋白、肌酸激酶同工酶低于对照组,每搏输出量、左室射血分数高于对照组,心肌再灌注率高于对照组,治疗期间不良反应发生率低于对照组,差异有统计学意义(P<0。05)。结论:心肌梗死患者介入治疗后应用中医治疗的效果良好,不仅能改善心功能,还能提高心肌再灌注率,且安全性高。
Improvement Effect of Traditional Chinese Medicine Treatment on Myocardial Reperfusion and Cardiac Function in Patients with Myocardial Infarction after Interventional Therapy
Objective:To explore and analyze the effect of application of traditional Chinese medicine treatment on improving cardiac function and myocardial reperfusion in patients with myocardial infarction after interventional therapy.Method:A total of 70 patients with myocardial infarction who admitted to Hunan University of Traditional Chinese Medicine Affiliated Dianjiang Traditional Chinese Medicine Hospital from May 2022 to May 2023 were selected as the research objects,they were divided into two groups by single and double number method,35 patients with single number were included in the control group,and 35 patients with double number were included in the observation group.The control group was treated with western medicine(Aspirin,Clopidogrel),and the observation group was treated with traditional Chinese medicine(Yiqi Tongbi Decoction),the myocardial function(cardiac troponin,creatine kinase isoenzyme),cardiac function(stroke volume,left ventricular ejection fraction)before and after treatment,myocardial reperfusion rate and incidence of adverse reactions were compared between two groups.Result:There were no significant differences in myocardial function and cardiac function between the two groups before treatment(P>0.05);the cardiac troponin and creatine kinase isoenzyme in the observation group after treatment were lower than those in the control group,the stroke volume and left ventricular ejection fraction were higher than those in the control group,the myocardial reperfusion rate was higher than that in the control group,and the incidence of adverse reactions during treatment was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of traditional Chinese medicine in patients with myocardial infarction after interventional therapy has a good effect,which can not only improve cardiac function,but also improve myocardial reperfusion rate,and has high safety.

Traditional Chinese medicine treatmentMyocardial infarctionInterventional therapyMyocardial reperfusionCardiac function

王玮、赵凤林

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湖南中医药大学附属垫江中医院 重庆 405300

重庆市酉阳县人民医院

中医治疗 心肌梗死 介入治疗 心肌再灌注 心功能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(5)
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