摘要
目的：分析愈梗通瘀汤对急性心肌梗死后心脑血管不良事件的预防作用。方法：选取2012年1月~2015年2月我院收治的78例急性心肌梗死患者作为研究对象,均按入院顺序编号,以随机数字表法分为对照组与观察组2组,各39例,对照组单纯接受西医治疗,观察组则在此基础上加用中医愈梗通瘀汤治疗,分析不同治疗方式对急性心肌梗死患者预后的影响,比较2组心脑血管不良事件发生率。结果：（1）观察组脑卒中、非致死性心肌梗死、再住院发生率分别为0、2.56%、5.13%,均明显低于对照组,2组对比差异有统计学意义（P〈0.05）;（2）治疗后及末次随访时,观察组生活质量评分分别降低至（33.65±6.67）分、（29.47±2.66）分,梗死面积缩小至（32.55±1.77）%、（16.68±6.44）%,改善幅度均高于对照组,2组对比差异有统计学意义（P〈0.05）。结论：在急性心肌梗死后患者心脑血管事件的预防中采用中医愈梗通瘀方,可改善患者生活质量,缩小梗死面积,降低不良心脑血管事件发生率,改善患者预后。
Objective： To analyze the preventive effect of Yugeng Tongyu Decoction for cardiac and cerebral vascular adverse events after acute myocardial infarction. Methods： 78 patients with acute myocardial infarction in our hospital from January 2012 to February were selected as the research object,and were randomly divided into controlled group and observation group,39 cases in each group,the controlled group was purely treated with western medicine,the observation group was treated with traditional Chinese medicine treatment on the basis of the controlled group,the effect of different treatment methods on the prognosis of acute myocardial infarction were analyzed. Results：（ 1） In the observation group,0,2. 56% and 5. 13% were significantly lower than those in the controlled group,the difference was statistically significant（ P〈0. 05）;（ 2） The quality of life score was significantly lower（ 6. 67 6. 44）,（ 1. 77 2. 66）,and the improvement rate was higher than that in the controlled group（ P〈0. 05）. Conclusion： In the prevention of cardiovascular and cerebrovascular events in patients with acute myocardial infarction,the traditional Chinese medicine can improve the quality of life,reduce the infarct size,reduce the incidence of adverse cardiovascular events and improve the prognosis of patients with acute myocardial infarction.
出处
《四川中医》
2016年第6期77-79,共3页
Journal of Sichuan of Traditional Chinese Medicine
关键词
急性心肌梗死
愈梗通瘀汤
心脑血管事件
预后
Acute myocardial infarction
Yugeng Tongyu Decoction
Cardiac and cerebral vascular adverse events
Prognosis
