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ID:11944352
大小:241.05 KB
页数:47页
时间:2018-07-15
《血脂康胶囊对冠心病血脂达标患者血脂水平的控制研究》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、提要目的:观察血脂康胶囊对冠心病合并高脂血症患者达标血脂水平维持的临床疗效,以期为治疗本病提供参考依据,并初步探讨血脂康胶囊治疗本类患者的优势和可行性,以期为进一步改良及推广此法打下基础。方法:随机选择冠心病伴高脂血症(治疗后血脂水平达标)患者60例,分为血脂康组(20例)、辛伐他汀组(20例)和基础治疗组(20例),在继续冠心病基础治疗的前提下,经药物洗脱期(2周)后,分别予以血脂康胶囊、辛伐他汀片和空白对照治疗,并于2周、4周、6周末观察疗效。结果:冠心病的基础治疗加血脂康胶囊抗心绞痛作用
2、更明显(P<0.05);对冠心病患者达标血脂水平维持的结果表明:基础治疗组在停用调脂药2周内血脂水平可保持正常(P>0.05),而停用调脂药物4周后血脂水平不再达标(P<0.05),血脂出现反弹性升高;血脂康胶囊治疗量口服能够维持达标血脂水平的稳定(P>0.05);口服治疗量血脂康胶囊与口服小剂量辛伐他汀片均能维持达标血脂(TC、LDL-C、HDL-C)水平稳定(P>0.05);而血脂康胶囊更能有效降低TG(P<0.05)。结论:口服治疗量血脂康胶囊能稳定冠心病伴高脂血症患者达标血脂水平,抗心绞
3、痛;与西药辛伐他汀片疗效相比,血脂康胶囊能更有效降低TG。关键词冠心病伴高脂血症;血脂康胶囊;临床研究;中医药治疗ClinicalStudyonMaintainingTheLipidLevelReachedTheStandardInPatientsWithCHDWithXueZhiKangCapsuleSpeciality:InternalMedicineofTraditionalChineseMedicineAuthor:LiuJinBoTutor:Pro.SuWenGeAbstractO
4、bjective:ToinvestigatetheclinicaleffectofmaintainingthelipidlevelreachedthestandardinpatientswithCHDandHyperlipidemiawithxuezhikangcapsule.Toprovideareferencefortreatmentofthisdissease.Toexploretheadvantagesandfeasibilityoftreatmentofthisdisseasewith
5、xuezhikangcapsuleandwesternmedicinetreatingidiopathicnephroticsyndromeandlaythefoundationforfurtherimprovement.Methods:Method60CasesofprematurebeatofCHDandHyperlipidemia(thelipidlevelreachedthestandardaftertreatment),anddividedintoxuezhikanggroup(20c
6、ases),simvastatingroup(20cases)andcontrolgroup(20cases).AtthePremiseofcontinueingthebasictreatmentofCHD.Afteraperiodofdrug-eluting(twoweeks),Betreatedwithxuezhikangcapsule,simvastatintabletsandcontrolfor2,4and6weeks,thentoobservethecurativeeffect.Res
7、ult:BasictreatmentofCHDplusXuezhikangcapsuleantianginaleffectismoreobvious(P<0.05).Theresultofmaintainingthelipidlevelreachedthestandard,Thebasisoftreatmentgroupsafter2weeksdiscontinuinglipid-loweringdrug,bloodlipidlevelscanbemaintainednormal(P>0.05)
8、,butLipid-loweringdrugsarediscontinuedafter4weeks,lipidlevelsisnolongerstandard(P<0.05),andIncreasedantimissily.Xuezhikangoralmaintenancedosecanmaintainthestabilityofbloodlipidlevels(P>0.05),Xuezhikangmaintenancedoseandlowdosesimvastatincanmaintainst
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