中西医结合治疗心肌缺血临床研究.docVIP

中西医结合治疗心肌缺血的临床研究 　　[摘要] 目的:探讨中西医结合治疗心肌缺血的临床疗效。方法:对我院2005年6月～2008年6月收治的心肌缺血患者68例(实验组)行中药配合硝酸甘油治疗,另随机选择68例心肌缺血患者单用硝酸甘油治疗,并对两组进行疗效对比分析。结果:实验组总有效率为95.83%,与对照组(85.29%)比较,有显著性差异(P0.05);住院时间和不良反应与对照组比较,有显著性差异(P0.05)。结论:中西医结合治疗缺血性心脏病效果显著,使患者预后大为改善、满意度提高,且副作用少,值得临床推广应用。 　　[关键词] 中西医结合;治疗;心肌缺血 　　[中图分类号] R541.4[文献标识码]A [文章编号]1673-7210(2010)04(c)-042-02 　　 　　Clinical research of Chinese and Western medicine on the treatment of myocardial ischemia 　　ZENG Jian 　　(Department of Cardiology, the Second Peoples Hospital of Zhanjiang City, Zhanjiang524003, China) 　　[Abstract] Objective: To explore the clinical efficacy of the combination of Chinese and Western medicine on the treatment of myocardial ischemia. Methods: From June 2005 to June 2008 in our hospital, 68 cases of patients with myocardial ischemia (experimental group) with nitroglycerin in the treatment of Chinese medicine, another randomly selected 68 cases of myocardial ischemia in patients with nitroglycerin alone treatment, the effects of two group were analyzed. Results: The total effective rate of the experimental group was 95.83%, compared with the wntrol group(85.29%), there was a significant difference (P0.05). Length of stay and adverse reactions were significant differences compared with the control group(P0.05). Conclusion: Efficacy on the combination of Chinese and Western medicine in ischemic heart disease is significant, the prognosis is much improvement, high patients′ satisfaction and low side effects, it′s worthy of clinical promotion. 　　[Key words] Chinese and Western medicine; Treatment; Myocardial ischemia 　　 　　心肌缺血是指心脏的血液灌注减少,导致心脏的供氧减少,心肌能量代谢不正常,不能支持心脏正常工作的一种病理状态。血压降低、主动脉供血减少及冠状动脉阻塞可直接导致心脏供血减少;心瓣膜病、血黏度变化、心肌本身病变也会使心脏供血减少。临床显示引起心肌缺血最主要、最常见的病因是冠状动脉(偶见肺动脉)狭窄。心肌缺血对心脏和全身都可能带来许多不利影响[1]。本文采用中西医结合治疗心肌缺血,效果显著,现报道如下: 　　1 资料与方法 　　1.1 一般资料 　　收集我院2005年6月～2008年6月收治的心肌缺血患者68例,设为实验组,行中药配合西药治疗,其中,男37例,女31例;年龄最小42岁,最大79岁,平均(55.3±3.2)岁。另随机选择68例心肌缺血患者单用西药常规治疗,设为对照组,其中,男35例,女33例;年龄最小44岁,最大82岁,平均(58.5±2.4)岁。两组患者