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复方丹参气雾剂合用硝酸甘油治疗冠心病心绞痛的疗效
http://www.100md.com 《中国中西医结合急救杂志》 2000年第2期
     作者:关中宪 张学全

    单位:

    关键词:心绞痛,冠心病;复方丹参气雾剂;硝酸甘油

    中国中西医结合急救杂志000202摘 要:目的:评价复方丹参气雾剂合用硝酸甘油治疗冠心病心绞痛的疗效。方法:将90例冠心病心绞痛患者随机分为3组:A组30例给予复方丹参气雾剂;B组30例给予复方丹参气雾剂,另加硝酸甘油静滴;C组单用硝酸甘油静滴。观察治疗前后3组疗效(心电图和症状),并观察A、B组血液流变学改变,B、C组硝酸甘油用量。结果: A组症状及心电图总有效率分别为76.7%和46.7%;C组症状及心电图总有效率分别为73 .3%和43.3%,2组比较差异无显著性(P均>0.05);B组症状及心电图总有效率分别为96.7%和60.0%,均优于上述2组(P均<0.05)。A组、B组治疗前后血液流变学有显著改善,且B组与A组有显著差异(P<0.05或P<0.01)。B组硝酸甘油用量显著少于C组(P<0.05)。结论:复方丹参气雾剂是治疗冠心病心绞痛的有效药物,与硝酸甘油合用可增强疗效,且能减少硝酸甘油用量,抑制其不良反应。

    分类号:R541.4 文献标识码:A

    文章编号:1008-9691(2000)02-0069-02

    Curative effect of composite salvia miltiorrhiza bunge complex aerosol on ische mic angina pectoris

    GUAN Zhongxian ZHANG Xuequan.

    (Yanzhou People′s Hospital, Yanzhou 272000)

    Abstract:Objective:To evaluate the curative effect of composite salvia miltiorrhiza bunge complex a erosol (SMBC) on ischemic angina pectoris.Methods:90 cases with ischemic angina pectoris were randomly divided into three groups,t he patients of group A were administered SMBC;the patients of group B were admin istered the mentioned SMBC and nitroglycerin;the patients of group C were admini stered nitroglycerin.The curative effect (ECG and symptom) of three groups was contrasted and observed before and after treatment;the alteration of hemorrheolo gy of group A and group B,and the dosage of nitroglycerin of group B and group C were observed.Results:The total effective rate of symptom(76.7% vs.73.3%) and ECG(46.7% vs.43 .3%) in group A and group C were similiar (all P>0.05),the curative effects(96.7% and 60.0%,respectively) in group B significantly higher than group A and group C(all P<0.05).The alteration of hemorrheology of g roup A significantly more than group B (P<0.05 or P<0.01).The do sage of nitroglycerin in group B was markedly lower than group C(P<0.05 ).Conclusions:SMBC is an effective drug for ischemic angina pectoris.Combine with SMBC and ni troglycerin can enhance curative effect and decrease the dosage of nitroglyceri n and can inhibit the deleterious effe, http://www.100md.com