心血管内科急性心绞痛的临床治疗效果探讨

Discussion of Clinical Effect of Acute Angina Pectoris in Cardiovascular Medicine

目的评价心血管内科急性心绞痛的临床治疗效果,总结治疗经验。方法 2017年1—5月,方便选取该医院心血管内科收治急性心绞痛106例,个体化治疗。分析近远期疗效指标。结果疼痛缓解时间(2.4±1.5)min,疼痛控制时间(4.4±1.5)h。住院期间疼痛复发率38.7%(41/106),并发症发生率12.3%。末次随访CK-MB(56.5±23.6)U/L、心电图心肌缺血总负荷(326.1±35.1)mm·min低于治疗前(128.9±56.4)U/L、(789.6±168.4)mm·min,差异有统计学意义(P<0.05)。结论心血管内科急性心绞痛治疗需要坚持个体化、综合治疗,根据疾病的阶段制定合适的治疗策略。

Objective To evaluate the clinical effect of acute angina pectoris in cardiovascular medicine and summarize treatment experience.Methods During January to May 2017,106 cases of acute angina pectoris were convenient selected and treated in the Department of Cardiology and received individualized treatment.The indexes of short-term and long-term effect were analyzed.Results the pain relief time was(2.4±1.5)min,and the pain control time was(4.4±1.5)h.The recurrence rate of pain during hospitalization was 38.7%(41/106),and the incidence of complications was 12.3%.The last follow-up was CK-MB(56.5±23.6)U/L,and the total load of myocardial ischemia(326.1±35.1)mm·min,which was lower than that before treatment of(128.9±56.4)U/L,(789.6±168.4)mm·min.The difference was statistically significant(P<0.05).Conclusion Treatment of curing acute angina pectoris in cardiovascular medicine need to adhere to individualized and comprehensive treatment,and formulate appropriate treatment strategy on the basis of the stage of disease.