活血化瘀法对急性心肌梗死病人血浆溶血磷脂酸的影响

Activating Blood Circulation to Dissipate blood Stasis of TCM Influence Patient with AMI on LPA in Blood

目的通过活血化瘀结合西药治疗冠心病心肌梗死,观察溶血磷脂酸(LPA)与冠心病心肌梗死的关系,确定活血化瘀法对冠心病心肌梗死血管损伤的治疗作用。方法70例病人随机分为对照组和血塞通胶囊治疗组,对照组采用纯西药,治疗组除西药外加用相应中成药活血化瘀,观察溶血磷脂酸治疗前后水平的变化。结果对照组溶血磷脂酸水平治疗后较治疗组高(0.01<P<0.05),但比治疗前低(P<0.01),治疗组治疗后亦较治疗前低(P<0.01)。结论加用活血化瘀中成药比单纯运用西药常规疗法降低血浆溶血磷脂酸水平效果明显,两种治疗方法均可通过降低溶血磷脂酸水平,减少血管损伤,保护心肌细胞。

Objective ：Through treatment AMI with Activating blood circulation to dissipate blood stasis traditional chinese drug and western medicine,We look into connection of LPA and AMI,appraise effect that Activating blood circulation to dissipate blood stasis impact patient with AMI. Method： 70 cases were classified into two groups at random,comparison group and therapy group. The former was only treated by western medicine,the latter was treated by both traditional chinese drug and western medicine,we judge the change of LPA level. Results： The LPA level of comparison group is higher than therapy group,（0.01P0.05）;but it is lower than preceding therapy,（P0.01）,the therapy group is lower than preceding therapy too,（P0.01）.Conclusion： Activating blood circulation to dissipate blood stasis can manifest decline the level of LPA,decline injury of blood vessel,protect cardiac muscle cell.