通心络联合替格瑞洛治疗急性冠脉综合征经皮冠状动脉介入治疗患者的临床研究
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2017年度湖北省教育厅科技研究计划指导性项目(E2018430)


Clinical Study of Tongxinluo Combined with Ticagrelor in the Treatment of Acute Coronary Syndrome Undergoing PCI
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    摘要:

    目的:观察通心络联合替格瑞洛治疗急性冠脉综合征经皮冠状动脉介入治疗(PCI)的临床疗效。方法:选取2017年12月至2018年12月期间在济南市第五人民医院确诊ACS需行PCI的患者86例作为研究对象,随机分为对照组(n=42)和观察组(n=44)。对照组给予替格瑞洛治疗,观察组加用通心络治疗,维持治疗6个月。观察2组TIMI血流、左室射血分数(LVEF)、左室舒张末期内径(LVEDD)、血小板聚集率(ADP)、肌酸激酶同工酶(CK-MB)、肌钙蛋白(cTnI)变化,记录主要心血管事件情况及相关不良反应。结果:2组术后6个月TIMI血流较术前均明显改善,观察组优于对照组,差异有统计学意义(P<0.05)。2组治疗后6个月LVEF、LVEDD、血小板聚集率较治疗前均明显改善,观察组优于对照组,差异有统计学意义(P<0.05)。2组术后24 h CK-MB、cTnI水平较术前差异无统计学意义(P>0.05),组间差异无统计学意义(P>0.05);2组术后72 h CK-MB、cTnI较术前均明显改善,观察组优于对照组,差异有统计学意义(P<0.05)。观察组不良心血管事件发生低于对照组,差异有统计学意义(P<0.05),2组不良反应差异无统计学意义(P>0.05)。结论:通心络联合替格瑞洛在急性冠脉综合征行PCI术的疗效显著,有助于术后恢复,减少不良心血管事件的发生。

    Abstract:

    To observe the clinical effect of Tongxinluo combined with Ticagrelor in the treatment of acute coronary syndrome(ACS)undergoing PCI.Methods:A total of 86 patients with ACS undergoing PCI admitted to the Fifth People's Hospital of Jinan from December 2017 to December 2018,were selected as the research objects and were randomly divided into an control group of 42 cases,and an observation group of 44 cases.The control group was given Ticagrelor treatment,and the observation group was given Tongxinluo on the basis of the control group,and the treatment lasted for 6 months.TIMI blood,LVEF,LVEDD,blood platelet aggregation rate,CK-MB,cTnI changes of the 2 groups were observed,and the cardiovascular events and adverse reactions were recorded.Results:After 6 months,postoperative TIMI blood flow of the 2 groups was significantly improved compared with that of preoperative(P<0.05).The observation group was superior to the control group(P<0.05).After 6 months,LVEF and LVEDD,platelet aggregation rate of the 2 groups after treatment were significantly improved than that before treatment(P<0.05),and the observation group was superior than the control group(P<0.05).In the 2 groups,the level of CK-MB and cTnI in 24 hours after operation were not significantly improved(P>0.05),and there were no significant differences between the groups(P>0.05); In the 2 groups,the CK-MB and cTnI in 72 hours after operation were significantly improved(P<0.05),the observation group was superior to the control group(P<0.05).Adverse cardiovascular events in the observaiton group were significantly lower than those in the control group(P<0.05),and there was no significant difference between the 2 groups(P>0.05).Conclusion:Tongxinluo combined with Ticagrelor in the treatment of acute coronary syndrome undergoing PCI has a significant effect,is helpful to postoperative recovery,reduce the occurrence of adverse cardiovascular events.It is worthy of popularization and application.

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陈壮,冯婧,贾治生,王悠草,彭金香.通心络联合替格瑞洛治疗急性冠脉综合征经皮冠状动脉介入治疗患者的临床研究[J].世界中医药,2020,(20).

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  • 收稿日期:2019-03-15
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  • 在线发布日期: 2020-10-31
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