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厄贝沙坦对冠心病PCI术后患者临床疗效的影响

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目的:观察厄贝沙坦对冠心病经皮冠状动脉介入术(PCI)术后患者的临床疗效。方法:选取2021年1月—2023年12月江南大学附属医院收治的120例冠心病PCI术后患者,随机分为A组(n=60)与B组(n=60)。A组予以常规治疗,B组予以常规治疗+厄贝沙坦治疗,对比两组患者的心绞痛发作情况(发作频率、持续时间)、血脂水平[甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)]、心功能指标[左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)、左室射血分数(LVEF)]、氧化应激水平[超氧化物歧化酶(SOD)、丙二醛(MDA)]及临床疗效。结果:两组治疗后的心绞痛发作频率、持续时间均减少,且B组少于A组,差异有统计学意义(P<0。05)。两组治疗后的TG、TC、HDL-C、LDL-C均改善,且B组优于A组,差异有统计学意义(P<0。05)。两组治疗后的LVEDD、LVESD、LVEF均改善,且B组优于A组,差异有统计学意义(P<0。05)。两组治疗后的SOD、MDA均改善,且B组优于A组,差异有统计学意义(P<0。05)。B组总有效率高于A组,差异有统计学意义(P<0。05)。结论:厄贝沙坦在冠心病PCI术后患者中的应用效果较好,可减少心绞痛发作频率及持续时间,改善血脂水平、心功能指标及氧化应激水平,总有效率高。
Effect on Clinical Efficacy of Irbesartan in Patients with Coronary Heart Disease after PCI
Objective:To observe the clinical effect of Irbesartan on patients with coronary heart disease after percutaneous coronary intervention (PCI).Method:A total of 120 patients with coronary heart disease after PCI treated in Affiliated Hospital of Jiangnan University from January 2021 to December 2023 were selected and they were randomly divided into group A (n=60) and group B (n=60).Group A received conventional treatment,group B received conventional treatment+Irbesartan treatment.The occurrence of angina pectoris (attack frequency,duration),blood lipid levels[triglycerides (TG),total cholesterol (TC),high density lipoprotein cholesterol (HDL-C),low density lipoprotein cholesterol (LDL-C)],cardiac function indicators[left ventricular end-diastolic diameter (LVEDD),left ventricular end-systolic diameter (LVESD),left ventricular ejection fraction (LVEF)],oxidative stress level[superoxide dismutase (SOD),malondialdehyde (MDA)],and clinical efficacy were compared between the two groups.Result:After treatment,the frequency and duration of angina pectoris were decreased in the two groups,and which in group B were less than those in group A,the differences were statistically significant (P<0.05).TG,TC,HDL-C and LDL-C were all improved in the two groups after treatment,and the levels in group B were better than those in group A,the differences were statistically significant (P<0.05).LVEDD,LVESD and LVEF were all improved in the two groups after treatment,and the levels in group B were better than those in group A,the differences were statistically significant (P<0.05).SOD and MDA of the two groups were improved after treatment,and the levels in group B were better than those in group A,the differences were statistically significant (P<0.05).The total effective rate of group B was higher than that of group A,the difference was statistically significant (P<0.05).Conclusion:The application of Irbesartan in patients with coronary heart disease after PCI has a good effect,which can reduce the frequency and duration of angina pectoris,improve blood lipid level,cardiac function index and oxidative stress level,and the total effective rate is high.

IrbesartanCoronary heart diseasePCICurative effect

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江南大学附属医院 江苏 无锡 241000

厄贝沙坦 冠心病 经皮冠状动脉介入术 疗效

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(29)