中西医联合急诊介入治疗急性冠状动脉综合征临床研究

A study on treating acute coronary syndrome in the integrative medicine plus emergency interventional therapy

目的:分析研究将中西医药物和急诊介入联合应用于急性冠脉综合征的治疗之中的效果及价值。方法:选择2017年10月-2018年11月在我院进行诊断与治疗的急性冠脉综合征患者80例进行此次实验研究。这些患者按照治疗方式的不同分成使用常规介入治疗的对照组,以及加用麝香保心丸和四妙勇安汤联合治疗的实验组。两组患者数目相同。观察经过不同治疗措施之后,不同组患者症状的评分、收缩末期左心室内径(Left Ventricular End Systolic Diameter,LVESD)、左心射血分数(Left Ventricular Ejection Fraction,LVEF)以及血浆脑钠肽(Brain Natriuretic Peptide,BNP)的变化情况,并统计两组患者并发症的发生差异,分析两种治疗措施的效果优劣。结果:干预后,实验组患者治疗的LVESD,BNP,LVEF水平明显低于对照组患者,且各项症状评分低于对照组患者,在术后并发症的发生上也较少,差异具有统计学的意义(P<0.05)。结论:急诊介入技术联合中西医疗法治疗急性冠脉综合征的效果确切,有较好的临床疗效,同时不良反应发生较少,患者依从性较好,此种联合用药的方法可作为临床上急性冠脉综合征首选的治疗方法。

Objective:To analyze the effect of the integrative medicine and emergency intervention on acute coronary syndrome.Methods:According to the different treatment methods,the patients were divided into the control group using conventional interventional therapy and the experimental group given Shexiang Baoxin wan(麝香保心丸)and the Simiao Yong’an decoction(四妙勇安汤)more.Results:After the intervention,the levels of LVESD,BNP,and LVEF in the experimental group were significantly lower than those in the control group,and the symptoms scores were lower than those in the control group.Postoperative complications were also fewer,and the differences were statistically significant(P<0.05).Conclision:Emergency interventional technique and the integrative medicine on acute coronary syndrome shows a definite effect,with fewer adverse reactions,and the patient’s compliance is good.This combination of drugs can be used as a clinical method for coronary syndrome.