西洋参胶囊对冠心病PCI术后患者的临床疗效研究.docx

西洋参胶囊对冠心病PCI术后患者的临床疗效研究 王璐卓1钟栩2(通迅作者) (1甘肃中医学院 甘肃 兰州730000) (2甘肃中医学院附属医院 甘肃 兰州730020) 【摘要】目的：观察西洋参胶囊对气虚血瘀型冠心病PCI术后患者的临床 疗效。方法:将62例气虚血瘀型冠心病PCI术后患者随机分为两组,对照组(n=32) 予冠心病二级预防治疗，治疗组(n=30)在对照组基础上加用西洋参胶囊，每次 2粒，每天3次。服药12周后，观察两组治疗前后临床症状，血清高敏C■反应 蛋白、低密度脂蛋白水平及心电图变化。结果：1?治疗组临床疗效明显优于对照 组，两组血清hs?CRP、LDL-C均明显下降，治疗组与对照组治疗后比较差异也有 统计学意义(Plt;0.05)o结论：西洋参胶囊对气虚血瘀型冠心病PCI术后患者能 明显降低血清hs-CRP. LDL?C水平，且能改善临床症状。 【关键词】西洋参胶囊；气虚血瘀型；冠心病PCI术后 【中图分类号】R453 【文献标识码】A 【文章编号】2095-1752 (2015) 09-0023-02 America n gin seng capsule on the clinical effect of PCI in patie nts with cor on ary heart disease after Wang Luzhuo. The College of Traditional Chinese Medicine of Gansu, Gansu Province, Lanzhou 730000, China; Zhong Xu. The Affiliated Hospital of the College of Traditional Chinese medicine of Gansu, Gansu Provinee, Lanzhou 730020, China 【Abstract] Objective: American ginseng capsules to qi deficiency and blood stasis type of cor on ary heart disease (CHD) patie nts with PCI postoperative clin ical curative effect. Methods: 62 patients were randomly divided into 2 groups, control group (n = 32) for sec on dary preve ntion of coronary heart disease treatme nt, the treatment group (n = 30) combined with American ginseng capsules, two at a time, three times a day. Results: Clinical curative effect of treatment group was better than control group, two groups of serum hs CR￡ LDL - C were sign讦icantly lower, compare the differenee was statistically significant (P lt; 0.05). Conclusions American ginseng capsules can significantly reduce the patients1 serum hs CRP, LDL - C level, and can improve the clinical symptoms. 【Key wordslAmerican ginseng capsules; Qi deficiency and blood stasis type; PCI postoperative cor on ary artery disease 冠心病是严重威胁人类健康的重大疾病。除单纯药物治疗外，经皮冠状动脉 介入治疗(PCI)也是治疗的主要手段，能明显降低死亡率。然而，术后长期用 药以及术后再狭窄等也是PCI术后影响患者生存质量的主要因素，成为制约疗效 的瓶颈，其狭窄可严重影响支架术后的远期通畅率，是PCI术治疗所面临的重大 挑战［1］。本研究所用的西洋参胶囊具有益气养阴、活血化瘀之功效，用于治疗 气虚血瘀型冠心病PCI术后患者，本文将探讨其对患者的临床疗效。 1 ?资料和方法 1.1 一般资料 选取甘肃中医学院附属医院心内科住院及门诊冠心病支架术后2年内患者 62例，男性33例，女性29例，