中西医结合治疗急性心肌梗死溶栓后心绞痛临床观察

Clinical Observation on Angina Pectoris after Intravenous Thrombolysis in Acute Myocardial Infarction Treated with Combination of TCM and Western Medicine

目的:观察西药常规治疗加麝香保心丸治疗急性心肌梗死(AM I)溶栓后心绞痛的临床疗效。方法:196例分为治疗组100例及对照组96例,两组均进行常规溶栓及抗凝治疗,治疗组加用麝香保心丸。观察两组患者梗死后心绞痛的发生率,30d内死亡率,非致死性再梗死率,发生严重心功能损害(killipⅢ或Ⅳ级)以及溶栓后30d的左室射血分数(LVEF)。结果:治疗组心梗后心绞痛发生率,30d内死亡率,非致死性再梗死率,严重心功能损害的发生率以及溶栓后30d左室射血分数(LVEF)均优于对照组(P<0.05)。结论:麝香保心丸治疗急性心肌梗塞溶栓后心绞痛疗效满意。

Objective：To approacl the treatment effect of Shexiang baoxin pilulae （麝香保心丸） to angina pectoris after acute mgocardial infarction（AMI） with routine thrombdysis. Methods ：196 patients with AMI were treated with routine thrombolysis and auticoayulant therapy, they were randomly divided into experimental group （n = 100） and control group （n = 96） patients in experimental group were added with shexiang baoxian pilulae. The rates of ocurreuce of angina pectoris after AMI, death rate winthin thirty days, serious heart damage and LVEF on 30 th day after routine thrombolysis in two groups were observeal. Result： The rate of ocurrence of angina pecoris affter AMI, death rate winthin thirty days. Serious heart damage and LVEF on 30 th day after routine thrombdysis in experimental group were singnificantly better than that in control group （ P 〈 0. 05 ）. Conclusion ： Shexiang baoxian pilulae （麝香保心丸） has good efficacy on angina pectoris after AMI.