中医治疗对急性心肌梗死行介入治疗者心肌保护的临床研究

Clinical Research of Traditional Chinese Medicine Treatment of Myocardial Protection for Acute Myocardial Infarction(MI) With Interventional Treatment

目的 评价围术期采用中医治疗对急性心肌梗死介入治疗心肌保护作用。方法 以2014年2月~2016年1月,医院急诊收治的92例急性心肌梗死患者作为研究对象,据病历号先后,随机分组为对照组、观察组,每组各46例。对照组给予西药常规处理,观察组给予中医治疗。结果 观察组退出2例,对照组退出3例;术前、术后4 h观察组与对照组CK-MB、cTnT水平高于入院时,观察组低于对照组;术后72 h两组CK-MB、cTnT水平低于入院时,观察组低于对照组,差异均有统计学意义（P〈0.05）;观察组心绞痛、心电图异常率发生率低于对照组,差异均有统计学意义（P〈0.05）。结论 中医治疗对急性心肌梗死行介入治疗者具有心肌保护作用。

Objective To evaluate the perioperative use of traditional Chinese medicine treatment of acute myocardial infarction （MI） in myocardial protection.Methods To select 92 patients of acute myocardial infarction as research object from February 2014 to January 2016, and divide them into control group and observation group based on case number successively averagely, control group were given conventional western medicine treatment, observation group were given therapy of traditional Chinese medicine.ResultsThe observation group exit in 2 cases, control group exit 3 cases; Preoperative and postoperative 4 h observation group and control group in CK-MB, cTnT levels were higher than on admission, observation group was lower than the control group, 72 h after two groups of CK-MB, cTnT level was lower than on admission, observation group was lower than control group, the difference had statistical significance （P〈0.05）; Observation group angina pectoris, the incidence rate of abnormal electrocardiogram was lower than control group, differences were statistically signiifcant （P〈0.05）.Conclusion TCM treatment of acute myocardial infarction （mi） has better myocardial protection.