[1]李明亮 沈桂兵.炙甘草汤在急性冠脉综合征经皮冠状动脉介入治疗术后中的应用[J].现代中医药,2020,(02):071-73.[doi:10.13424/j.cnki.mtcm.2020.02.019]
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炙甘草汤在急性冠脉综合征经皮冠状动脉介入治疗术后中的应用()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2020年02期
页码:
071-73
栏目:
出版日期:
2020-04-22

文章信息/Info

文章编号:
1672-0571(2020)02-0071-03
作者:
李明亮 沈桂兵
宁陕县医院,陕西安康711699
关键词:
急性冠脉综合征介入治疗炙甘草汤规范化治疗术后高血压
分类号:
R289.51
DOI:
10.13424/j.cnki.mtcm.2020.02.019
文献标志码:
B
摘要:
目的探讨西医规范化治疗结合炙甘草汤在急性冠脉综合征经皮冠状动脉介入治疗术后中的应用?方法选取80例急性冠脉综合征患者并随机分为治疗组和对照组,所有患者均需要采取经皮冠状动脉介入治疗(PCI),并且根据临床指南进行西医规范化治疗;治疗组在常规治疗的基础上联合给予炙甘草汤进行治疗?记录两组患者治疗前后的左室射血分数和C反应蛋白水平?B型钠尿肽水平等理化指标,比较两组患者治疗前后的中医证候积分以及低血压发生率?结果经治疗后两组患者的中医证候积分和左室射血分数均显著优于本组治疗前(均P<0.05);经治疗后治疗组患者的中医证候积分和左室射血分数均显著优于同期对照组(t=4.958,t=5.395,均P<0.05)?经治疗后治疗组患者的TNF-ɑ?BNP水平均显著优于同期对照组(t=12.384,t=4.293,均P<0.05),两组患者治疗后的TNF-ɑ?CRP?BNP水平均显著优于同组治疗前(均P<0.05)?本次研究中治疗组有1例患者出现术后低血压,其发生率为2.50%,对照组有11例患者出现术后低血压,发生率为27.50%;两组数据比较差异具有统计学意义(χ2=11.293,P<0.05)?结论对于行PCI治疗的ACS患者联合采用炙甘草汤及西医规范化治疗能够有效提升其临床疗效,大幅度降低了患者的术后低血压发生率,值得在临床上加以推广运用?

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备注/Memo

备注/Memo:
通讯作者:沈桂兵,主治医师?E-mail:454001836@qq.com
更新日期/Last Update: 1900-01-01