急性心绞痛临床治疗方法及疗效探讨.docVIP

急性心绞痛临床治疗方法及疗效探讨 　　[摘要] 目的 探讨临床治疗急性心绞痛的方法及具体临床疗效。方法 该次研究随机选取该院2015年11月―2016年11月收治的50例急性心绞痛患者按照随机抽取的方式在患者及其家属知情的情况下分为对照组与实验组各25例。对照组患者采用常规方法进行治疗，实验组患者采用常规方法加配氯吡格雷进行治疗。对比两组患者的临床治疗有效率以及不良症状发生率。结果 实验组患者的临床治疗总有效率为92%，对照组患者的临床治疗总有效率为68%；实验组患者经过治疗后的不良症状发生率为8%，对照组患者经过治疗后的不良症状发生率为28%。两组患者上述指标对比均为实验组优于对照组，组间差异有统计学意义（P0.05）。 结论 临床采用常规治疗方法配合氯吡格雷对急性心绞痛患者进行治疗，能够提高临床治疗有效率，降低不良症状发生率，值得应用并推广。 　　[关键词] 急性心绞痛；临床治疗；氯吡格雷 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）04（a）-0067-037 　　Study on Clinical Treatment Method and Curative Effect of Acute Angina 　　GUO Ze-shang 　　Dalian Medical College， Dalian Third People’s Hospital， Dalian， Liaoning Province， 116041 China 　　[Abstract] Objective To observe the clinical treatment method and curative effect of acute angina. Methods 50 cases of patients with acute angina admitted and treated in our hospital from November 2015 to November 2016 were randomly selected and divided into two groups with 25 cases in each with the informed consent of patients and their family， the control group adopted the routine method， while the experimental group were treated with clopidogrel on the basis of the routine method， and the total clinical treatment effective rate and incidence rate of adverse symptoms were compared between the two groups. Results The total clinical effective rate and the incidence rate of adverse symptoms after treatment in the experimental group were better than those in the control group（92%， 8% vs 68%， 28%）， and there were obvious differences between the two groups with statistical significance（P0.05）. Conclusion The clinical routine method and clopidogrel in treatment of patients with acute angina， which can improve the clinical treatment effective rate and reduce the incidence rate of adverse symptoms， and it is worth application and promotion. 　　[Key words] Acute angina； Clinical treatment； Clopidogrel 　　心?g痛属于心血管内科比较常见的心脏病疾病类型之一，患有心绞痛的患者在骤然发病时会出现比较强烈的痛感，并且无法忍受，疼痛所持续的时间一般在3～5 min[1]。临床认为，心绞痛主要由于患者体内的冠状动脉供血出现不足，由此出现心肌暂时性、急剧性缺血与缺