丹七软胶囊治疗冠心病心绞痛疗效观察及对心肌保护作用的研究
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Observation of Curative Effect of Danqi Soft Capsules on Angina Pectoris of Coronary Heart Disease and Study on Its Effect on Myocardial Protection
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    摘要:

    目的:观察丹七软胶囊对冠心病心绞痛临床疗效及对心肌保护作用的效果。方法:选取90例冠心 病心绞痛患者为研究对象,按随机数字表法分为治疗组与对照组各45例。2组均给予抗心肌缺血、调脂、扩张 冠状动脉、抗血小板凝聚等基础治疗,对照组加用盐酸曲美他嗪片治疗,治疗组在对照组基础上加用丹七软胶 囊治疗。治疗4 周后比较2 组临床疗效、中医证候评分、心绞痛发作次数、心肌酶谱指标[肌酸激酶同工 酶(CK-MB)、乳酸脱氢酶(LDH)、谷草转氨酶(AST) ]及血清炎症因子[肿瘤坏死因子-α(TNF-α)、超敏 C-反应蛋白(hs-CRP) ]水平变化。结果:治疗后,治疗组总有效率为93.33%,对照组为71.11%,2组比较, 差异有统计学意义(P<0.05)。治疗后,2组胸部绞痛、胸闷、眩晕头痛、心悸不宁等中医证候评分均较治疗 前降低(P<0.05),且治疗组各项评分均低于对照组(P<0.05)。治疗后,2组心绞痛发作次数、持续时间较 治疗前减少(P<0.05),且治疗组心绞痛发作次数、持续时间均少于对照组(P<0.05)。治疗后,2 组 CK-MB、LDH、AST水平较治疗前降低(P<0.05),且治疗组上述3项指标均低于对照组(P<0.05)。治疗后, 2组TNF-α、hs-CRP水平较治疗前降低(P<0.05),且治疗组上述2项指标均低于对照组(P<0.05)。结论: 丹七软胶囊联合西药治疗冠心病心绞痛疗效显著,可减轻患者临床症状,有效抑制机体炎症反应,减少心绞痛 发作次数,缩短发作持续时间,改善心肌酶谱指标。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Danqi Soft Capsules on angina pectoris of coronary heart disease and its effect on myocardial protection. Methods:A total of 90 cases of patients with angina pectoris of coronary heart disease were selected as the study objects and divided into the treatment group and the control group according to the random number table method,with 45 cases in each group. Both groups were given basic treatment including anti-myocardial ischemia, lipid regulation, coronary artery dilation and anti-platelet aggregation; the control group was additionally treated with Trimetazidine Dihydrochloride Tablets,and the treatment group was additionally treated with Danqi Soft Capsules based on the treatment of the control group. After 4 weeks of treatment, the changes in clinical effects, traditional Chinese medicine (TCM) syndrome scores, frequency of angina attacks, myocardial enzyme indexes [creatine kinase-MB (CK-MB),lactate dehydrogenase (LDH),aspartate transaminase (AST)] and levels of serum inflammatory factors [tumor necrosis factor- α (TNF-α),hypersensitive C-reactive protein (hs-CRP)] were compared between the two groups. Results:After treatment,the total effective rate was 93.33% in the treatment group and 71.11% in the control group,the difference being significant (P<0.05). After treatment,the scores of TCM syndromes like chest colic,chest tightness,dizziness,headache and palpitation in the two groups were decreased when compared with those before treatment (P<0.05),and the scores in the treatment group were lower than those in the control group (P<0.05). After treatment, the frequency and duration of angina pectoris attack in the two groups were reduced and shortened when compared with those before treatment (P<0.05),and the frequency and duration of angina pectoris attack in the treatment group were lower and shorter than those in the control group (P<0.05). After treatment, the levels of CK-MB,LDH and AST in the two groups were decreased when compared with those before treatment (P<0.05), and the above three indexes in the treatment group were lower than those in the control group (P<0.05). After treatment, the levels of TNF- α and hs-CRP in the two groups were decreased when compared with those before treatment (P<0.05), and the above two indexes in the treatment group were lower than those in the control group (P<0.05). Conclusion: Danqi Soft Capsules combined with western medicine has a significant curative effect in the treatment of angina pectoris of coronary heart disease, which is beneficial in reducing clinical symptoms, effectively inhibiting inflammatory responses, reducing the frequency of angina pectoris attacks, shortening the duration of attacks,and improving myocardial enzyme indexes.

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周晟,陈倚天.丹七软胶囊治疗冠心病心绞痛疗效观察及对心肌保护作用的研究[J].新中医,2024,56(10):68-72

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  • 在线发布日期: 2024-05-28
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