中西医结合治疗急性心肌梗塞的临床研究

Integrative Medicine Clinical Study of Acute Myocardial Infarction

[目的]观察中医药治疗急性心肌梗塞的疗效。[方法]在西药常规治疗基础上加用5%葡萄糖250mL中加参麦注射液30mL,5%葡萄糖250mL中加丹参注射液20mL、川芎嗪注射液80mg,静滴qd,益气活血;并常规予麻仁丸9g,qd,软化通导大便;若汗出肢冷、脉微欲绝、阳气欲脱者用参附注射液40mL静滴,qd,15 d为1个疗程。2个疗程后。进行效疗评价。[结果]2个疗程后治疗组显效22例,有效4例,无效2例,总有效率92.9%。其中用中药治疗过程中未发现不良反应。[结论]在西药治疗的基础上合用参麦丹参麻仁丸等治疗心肌梗塞疗效确切,效果满意。

[ Objective] Observation of Chinese medicine in the treatment of acute myocardial infarction patients. [ Method] Western medicine on the basis of conventional therapy, plus 5% glucose injection 250mL Canada Shenmai 30mL, 5% glucose injection 250mL of Salvia miltiorrhiza 20mL, TMP injection 80rag, intravenous qd, Qi and blood circulation; and practices to the Ma Yan Wan 9g, qd, softening the stool through guided; if sweating, cold extremities, pulse slightly stricken, yang who want to de -40mL with intravenous Shenfu, qd, 15 d to a course of treatment. 2 months after treatment. Evaluation of the treatment effect. [Results] After 2 courses of treatment group 22 cases, effective in 4 cases, 2 cases, total effective rate 92. 9%. One course of treatment with traditional Chinese medicine found no adverse reactions. [ Conclusion ] On the basis of western medicine in the combined treatment of myocardial infarction and other Shenmai Salvia Maren Pills effective, results were satisfactory.