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1、提要目的:本论文主要研究胸痹通胶囊治疗PCI术后再发心绞痛的疗效观察。方法:临床研究中,将60例PCI术后再发心绞痛的患者纳入观察病例,并随机分为两组,两组患者均给与拜阿司匹灵、舒降之、波利维、鲁南欣康口服药物。治疗组在常规西药治疗基础上加服胸痹通胶囊(由潍坊市中医医院制剂中心生产),一次4粒,一日3次。伴有高血压、糖尿病患者给予相应的对症支持治疗。治疗4周后,对入组患者进行临床症状、心电图改变的观察,并检测实验室指标,进行治疗前后的对比,并通过相应的统计学对结果做进一步的分析。结果:1.在PCI术后再发心绞痛的缓解症状
2、和改善心电图方面,两组均有显著的疗效,治疗组的疗效要优于对照组。2.在改善中医症状方面,通过中医症候积分疗效评价,治疗组明显优于对照组。3.在血脂总胆固醇、甘油三酯及低密度脂蛋白检测方面,治疗后两组均有下降,并治疗组下降更明显。结论:通过临床观察,及各种指标检测,胸痹通胶囊是临床上治疗PCI术后再发心绞痛的一个安全、疗效确切的中药复方制剂,并因中药的毒副作用小及整体调治的特点,其应用前景广阔,优越性无法比拟,为中医药治疗PCI术后心绞痛提供新的思路和方法,同时也进一步完善胸痹通胶囊的临床应用范围。关键词冠心病心绞痛;PC
3、I术后再发心绞痛;胸痹通胶囊;中医药治疗XiongbitongcapsuleintreatmentofanginapectorisafterPCIobservationSpeciality:InternalMedicineofTCMAuthor:WangWenTutor:ProfessorTangKeqingAbstractObjective:ThispapermainlystudiesofxiongbitongcapsuleinthetreatmentofanginapectorisafterPCIoperationo
4、bservation.Methods:Inclinicalstudies,afterPCIinpatientswithanginapectoris60examplerandomlydividedintotwogroups,60intothecase,andtwogroupsofpatientsweregiventheoraldrugs.ofaspirin,simvastatin,Polivy,andlunanxinkang(manufacturedbyWeifangtraditionalChineseMedicineHo
5、spital),4capsules,3timesaday.Supportforrelativeaccompaniedbyhighbloodpressure,diabetestreatment.After4weeks,watchbeforeandafterclinicalsymptomsandSt-tchangesofECG,laboratorytestindex,andforstatisticalanalysis.Results:1.thetwogroupstoimprovesymptomreliefandelectro
6、cardiogramofanginahaveasignificanteffect,efficacyofthetreatmentgroupthanthecontrolgroup.2.thetwogroupsintermsofimprovedsymptomsoftraditionalChineseMedicine,treatmentsignificantlybetterthancontrolgroups.3.treatmentofthelattertwogroupstotalcholesterolandlowdensityl
7、ipoproteinlipidshaddropped,bloodrheology,andtherapygroupsfellevenmoreobvious.Conclusions:Throughtheclinicalobservation,XiongbitongcapsuleisthesafeandeffectivetraditionalChinesemedicinecompoundpreparationinthetreatmentofanginapectorisafterPCI,andduetosideeffectssm
8、allandtheoveralltreatmentoftraditionalChinesemedicine,hasbroadprospectsinthetreatmentofcoronaryheartdiseaseandotherdrugsincomparablesuperiority.Andprovidenewid