冠心病无痛性心肌缺血的临床诊治

Clinical diagnosis and treatment on Painless Myocardial Ischemia of Coronary Heart Disease

目的观察分析冠心病无痛性心肌缺血的临床诊断和治疗方法。方法选取160例冠心痛的患者,分别给予24 h的动态心电图监测,随机分为观察组和对照组,各80例。观察组采取复方丹参滴丸联合补中益气丸服用治疗,对照组单纯采取复方丹参滴丸治疗。结果 160例冠心病患者中,ST-T改变时明显心率增快有119例,占74.4%;发生心率失常有151例,占94.4%。两组患者的心绞痛症状与心电图的改善程度存在明显差异(P<0.05)。结论利用动态心电图对冠心病患者进行监测是初筛的重要手段,复方丹参滴丸和补中益气丸联合服用的治疗效果明显优于单纯采用复方丹参滴丸。

Objective To observe and analyze coronary heart painless myocardial ischemia in clinical diagnosis and treatment, to summarize its clinical significance. Methods In our hospital from December 2008 to December 2011,160 cases of Crown heart-ache patients were given 24h ambulatory electrocardiogram （Holter） monitoring, were randomly divided into observation group and the control group, 80 cases each observation group take Compound Danshen Dripping Pilltaking joint Buzhongyiqi pill treatment, thecontrol group were taken CSDP treatment, and four weeks for a course of treatment, continuous treatment of two courses. Results 160 cases of coronary heart disease patients, ST-T changes significantly increased heart rate for nearly 119 cases （74.4%）, 151 casesof arrhythmia, accounting for 94.4%, there are significant differences in the degree of improvement of the two groups of patients with symptoms of angina and electrocardiographic （P〈0.05）, with statistical significance. Conclusion Dynamic ECG monitoring of pa-tients with coronary heart disease is an important means of screening and treatment of recurrent Danshen Dripping Pill and Bu Zhong Yi Qi Wan jointly taking effect, was better than to take the recurrence Danshen Dripping Pill, has important clinical significance.