心血管内科急性心绞痛临床治疗效果探讨.docVIP

心血管内科急性心绞痛临床治疗效果探讨 　　[摘要] 目的 评价心血管内科急性心绞痛的临床治疗效果，总结治疗经验。方法 2017年1―5月，方便选取该医院心血管内科收治急性心绞痛106例，个体化治疗。分析近远期疗效指标。结果 疼痛缓解时间（2.4±1.5）min，疼痛控制时间（4.4±1.5）h。住院期间疼痛复发率38.7%（41/106），并发症发生率12.3%。末次随访CK-MB（56.5±23.6）U/L、心电图心肌缺血总负荷（326.1±35.1）mm?min低于治疗前（128.9±56.4）U/L、（789.6±168.4）mm?min，差异有统计学意义（P0.05）。结论 心血管内科急性心绞痛治疗需要坚持个体化、综合治疗，根据疾病的阶段制定合适的治疗策略。 　　[关键词] 心血管内科；急性心绞痛；临床疗效 　　[中图分类号] R54 [文献标识码] A [文章编号] 1674-0742（2018）02（c）-0130-02 　　Discussion of Clinical Effect of Acute Angina Pectoris in Cardiovascular Medicine 　　TAN Xian-hua 　　Department of Cardiology， Chongqing Medical University Affiliated Nanchuan People’s Hospital， Chongqing， 408400 China 　　[Abstract] Objective To evaluate the clinical effect of acute angina pectoris in cardiovascular medicine and summarize treatment experience. Methods During January to May 2017， 106 cases of acute angina pectoris were convenient selected and treated in the Department of Cardiology and received individualized treatment. The indexes of short-term and long-term effect were analyzed. Results the pain relief time was （2.4±1.5）min， and the pain control time was（4.4±1.5） h. The recurrence rate of pain during hospitalization was 38.7%（41/106）， and the incidence of complications was 12.3%. The last follow-up was CK-MB （56.5±23.6）U/L， and the total load of myocardial ischemia （326.1±35.1）mm?min， which was lower than that before treatment of （128.9±56.4）U/L， （789.6±168.4）mm?min. The difference was statistically significant（P0.05）. Conclusion Treatment of curing acute angina pectoris in cardiovascular medicine need to adhere to individualized and comprehensive treatment， and formulate appropriate treatment strategy on the basis of the stage of disease. 　　[Key words] Cardiovascular medicine； Acute angina pectoris； Clinical curative effect 　　在我??人口老龄化步伐明显加快，高血压等相关疾病发生率上升，烟草的泛滥，冠心病等心脏疾病患者的增多，急性心绞痛发生率也快速上升。急性心绞痛也是胸痛常见病因之一，是一种心血管事件，提示存在持续性心脏缺血，常伴有心律失常，严重者可出现心肌梗死、休克、急性心力衰竭，有死亡风险。需要重视急性心绞痛的管理，以减轻心肌损伤，控制心律失常等并发症，从而改善患者预后。对于冠心病患者而言，心绞痛的有效控制，对于慢性心