探讨稳定型心绞痛与不稳定型心绞痛的临床研究 孙娜群.docVIP

精品论文 参考文献 探讨稳定型心绞痛与不稳定型心绞痛的临床研究 孙娜群 大庆市肇州县丰乐镇卫生院 166421 【摘 要】目的 研究并探讨稳定型心绞痛和不稳定型心绞痛的临床表现特征及治疗。方法 此次研究的对象是选择2010年6月——2012年11月期间我院收治的82例心绞痛患者，其中稳定型心绞痛40例，不稳定型心绞痛42例，将其临床资料进行回顾性分析，总结两组患者的临床表现特征及治疗预后。结果 两类心绞痛的临床主要表现均是心前区阵发性胸痛，两者主要诱因是体力劳动和情绪激动激发，其中少数不稳定型心绞痛无明显诱因；稳定型心绞痛患者治疗总有效率为87.50%，心绞痛发作次数及持续时间明显短于治疗前，差异有统计学意义（Plt;0.05）；不稳定型心绞痛患者治疗总有效率78.57%；心绞痛发作次数及持续时间明显短于治疗前，差异有统计学意义（Plt;0.05）。结论 稳定型心绞痛与不稳定型心绞痛的主要临床表现均是心前区阵发性胸痛，且多有诱因，经过治疗多数能康复。 【关键词】 稳定型心绞痛；不稳定型心绞痛；临床分析 [Abstract]Objective To study the clinical characteristics and treatment of stable angina and unstable angina pectoris.The research object is the method of 82 cases of angina pectoris were selected from June 2010 to November 2012 in our hospital，including 40 patients with stable angina，unstable angina in 42 cases，the retrospective analysis of the clinical data，summarize the clinical features and treatment outcomes of the two groups of patients.Results two clinical types of angina pectoris mainly are the area before the heart paroxysmal chest pain，two main inducement is the physical and emotional excitation，one of the few unstable angina without obvious inducement；treatment of angina pectoris patients with stable total efficiency is 87.50%，the number of times of angina and duration was significantly shorter than that before treatment，the difference was statistically significant（Plt;0.05）；the treatment of unstable angina in the total efficiency of 78.57%；the frequency and duration of angina attack was significantly shorter than that before treatment，the difference was statistically significant（Plt;0.05）.Conclusion the main clinical manifestations of stable angina and unstable angina pectoris are paroxysmal chest pain in the anterior region of the heart，and there are many incentives. [Keywords]stable angina pectoris；unstable angina pectoris；clinical analysis 心绞痛指的是由冠状动脉粥样硬化狭窄导致冠状动脉供血不足，心肌暂时缺血与缺氧所引起的以心前区疼痛的一组综合征。临床上分为稳定型心绞痛和不稳定型心绞痛两种类型[1]。心绞痛的主要病理改变是不同程度的冠状动脉粥样硬化，其危险因素包块血脂