丹红注射液联合低分子肝素治疗不稳定型心绞痛临床研究
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R541.1;R248.1

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Clinical Study on Danhong Injection Combined with Low Molecular Weight Heparin for Unstable Angina Pectoris
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    摘要:

    目的:观察丹红注射液联合低分子肝素治疗不稳定型心绞痛护理疗效。方法:将200 例不稳定型心绞痛患者按随机数字表法分成2 组,对照组100 例采用低分子肝素治疗,观察组100 例采用低分子肝素联合丹红注射液治疗再配合护理干 预。对比2 组干预前后同型半胱氨酸(Hcy)、基质金属蛋白酶-2 (MMP-2)、高敏C-反应蛋白(hs-CRP)、肿瘤坏死因子-α (TNF-α)、白细胞介素-6 (IL-6)、全血低切黏度(NBL)、全血高切黏度(NBH)、纤维蛋白原(Fib)、红细胞沉降率(ESR)、红细胞比容(HCT) 的变化情况。结果:干预后,2 组血浆Hcy、MMP-2 较前改善,观察组干预后血浆Hcy、MMP-2较对照组降低,差异有统计学意义(P<0.05)。干预后,2 组hs-CRP、TNF-α、IL-6 较前改善,观察组干预后hs-CRP、TNF-α、IL-6 较对照组降低,差异有统计学意义(P<0.05)。干预后,2 组血流动力学指标较前改善,观察组干预后血流动力学NBL、NBH、Fib、ESR、HCT 较对照组降低,差异有统计学意义(P<0.05)。结论:丹红注射液联合低分子肝素治疗不稳定型心绞痛再配合护理干预,可改善患者临床症状,提高血流速度,有效清除炎性因子。

    Abstract:

    Abstract:Objective:To observe the nursing effect of Danhong injection combined with low molecular weight heparin for unstable angina pectoris. Methods: A total of 200 cases of patients with unstable angina pectoris were divided into two groups according to the random number table method, 100 cases in each group. The control group was treated with low molecular weight heparin, and the observation group was given nursing intervention after the treatment of low molecular weight heparin combined with Danhong injection. Before and after intervention,the changes in homocysteine(Hcy),matrix metalloproteinase-2(MMP-2),high-sensitivity C-reactive protein(hs-CRP),tumor necrosis factor α(TNF-α),interleukin-6 (IL- 6),whole low blood viscosity(NBL),whole high blood viscosity(NBH),fibrinogen(Fib),erythrocyte sedimentation rate (ESR) and hematocrit(HCT) in the two groups were compared. Results:After intervention,Hcy and MMP-2 in plasma in the two groups were improved when compared with those before intervention, and Hcy and MMP- 2 in plasma in the observation group were decreased when compared with those in the control group,the difference being significant(P<0.05). After intervention,the levels of hs- CRP,TNF- α and IL- 6 in the two groups were improved when compared with those before intervention,and the above levels in the observation group were decreased when compared with those in the control group,the difference being significant(P<0.05). After intervention,hemodynamic indexes in the two groups were improved when compared with those before intervention, and hemodynamics including NBL, NBH, Fib, ESR and HCT in the observation group were decreased when compared with those in the control group,the difference being significant(P<0.05). Conclusion: The intervention of nursing after Danhong injection combined with low molecular weight heparin for unstable angina pectoris can improve the clinical symptoms of patients and the state of plasma in the blood vessels,and effectively remove the inflammatory factors.

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张欣,李亚娟,张晓静.丹红注射液联合低分子肝素治疗不稳定型心绞痛临床研究[J].新中医,2021,53(17):176-179

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  • 在线发布日期: 2021-09-09
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