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纸质出版日期:2015
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张彩红, 李九席. 血栓通注射液对急性冠脉综合征患者介入治疗术后血脂、炎症因子及内皮功能的影响[J]. 中国实验方剂学杂志, 2015,21(11):169-173.
ZHANG Cai-hong, LI Jiu-xi. Influence of Blood Lipids, Inflammatory Factors and Endothelial Function in Patients with Acute Coronary Syndrome After PCI by Xueshuantong Injection[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(11): 169-173.
张彩红, 李九席. 血栓通注射液对急性冠脉综合征患者介入治疗术后血脂、炎症因子及内皮功能的影响[J]. 中国实验方剂学杂志, 2015,21(11):169-173. DOI: 10.13422/j.cnki.syfjx.2015110169.
ZHANG Cai-hong, LI Jiu-xi. Influence of Blood Lipids, Inflammatory Factors and Endothelial Function in Patients with Acute Coronary Syndrome After PCI by Xueshuantong Injection[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(11): 169-173. DOI: 10.13422/j.cnki.syfjx.2015110169.
目的: 探究血栓通注射液对急性冠脉综合征患者介入治疗术后血脂、炎症因子及内皮功能的影响. 方法: 将2012年12月至2014年6月期间80例经皮冠状动脉介入治疗(PCI)治疗的急性冠状动脉综合征患者纳入本次研究
并按随机数字均衡分为治疗组和对照组
各40例
对照组采用常规药物治疗
在对照组治疗的基础上
治疗组采用血栓通注射液进行治疗.对比两组手术前后血脂水平变化、炎症因子、内皮功能及不良反应等情况. 结果: ①研究组血流分级(TIMI)中0级 0例
Ⅰ级0例
Ⅱ级6例
Ⅲ级34例
对照组分别为0
0
5
25例
两组差异显著
具有统计学意义(P <0.05);②经过药物干预术后1个月
两组的甘油三酯(TG)
总胆固醇(TC)
低密度脂蛋白-胆固醇(LDL-C)水平均较术前下降
高密度脂蛋白胆固醇(HDL-C)水平较术前上升
差异存在统计学意义(P< 0.05).治疗组术后的TC
TG
LDL-C水平较对照组低
HDL-C水平较对照组高
组间比较差异存在统计学意义(P< 0.05).③两组术前的超敏C-反应蛋白(hs-CRP)
白介素-6(IL-6)
内皮素(ET)
纤维蛋白原(Fg)
血管性血友病因子(vWF)均无显著性差异
两组术后1 d hs-CRP
IL-6
ET
Fg
vWF均较术前有所上升
但组间差异不显著
两组术后1月hs-CRP
IL-6
ET
Fg
vWF较术前和术后1 d均下降
差异显著(P< 0.05)
且治疗组术后1月hs-CRP
IL-6
ET
Fg
vWF较对照组低
组间差异具有统计学意义(P< 0.05).④在术后1个月内
对照组出现心绞痛4例
心肌梗死1例
心脏事件发生率为12.5%
治疗组出现心绞痛2例
心肌梗死0例
心脏事件发生率为5.0%
两组心脏事件发生率差异无统计学意义. 结论: 血栓通注射液能控制急性冠脉综合征患者介入治疗术后血脂
抑制炎症反应
改善内皮功能
降低术后心脏事件发生.
Objective: The aim of this study was to explore the influence of blood lipids
inflammatory factors and endothelial function in patients with acute coronary syndrome after percutaneous coronary intervention(PCI) by Xueshuantong injection. Method: In this study
eighty acute coronary syndrome patients treated by PCI between December 2012 and June 2014 were included
and according to the random numbers
they were divided into treatment group and control group
with 40 cases in each group. The control group was given conventional drug treatment
on the basis of the control group
the treatment group was given Xueshuantong injection for treatment. The lipid level
inflammation factors
endothelial function and adverse reactions before and after surgery were compared. Result: In treatment group
there was no case with thrombolysis in myocardial infarction(TIMI) grade of level 0
0 case in level Ⅰ
6 cases in level Ⅱ
34 cases in level Ⅲ.In control group
there was 0 case in level 0
0 cases in level Ⅰ
15 cases in level Ⅱ
25 cases in level Ⅲ
with significant difference compared to treatment group(P <0.05).After drug intervention for one month after sugery
the levels of total cholesterol(TC)
triglyceride(TG)
low density lipoprotein-cholesterol (LDL-C) in both two groups were decreased
while the level of high density lipoprotein-cholesterol (HDL-C) was increased
with significance difference (P <0.05). The levels of TC
TG
LDL-C in treatment group was lower than those in control group
the level of HDL-C was higher than that in control group
with significant difference (P <0.05). Preoperative high-sensitivity C-reactive protein(hs-CRP)
interleukin-6(IL-6)
endothelin(ET)
fibrinogen(Fg)
von willebrand factor(vWF) one day after surgery were all increased
but with no significant difference between two groups. The hs-CRP
IL-6
ET
Fg
vWF one month after surgery in two groups were decreased with significant difference (P <0.05)
and the hs-CRP
IL-6
ET
Fg
vWF one month after surgery in treatment group were lower than those of control group with statistical significance (P <0.05). Within a month after surgery
in control group there were 4 cases for angina pectoris
1 case for myocardial infarction
the incidence of cardiac event was 12.5%;while in treatment group there were 2 cases for angina pectoris
none for myocardial infarction
the incidence of cardiac event was 5.0%
with no statistically significant differences between two groups. Conclusion: Xueshuantong injection can control postoperative blood lipids in patients with acute coronary syndromes
inhibit inflammation
improve endothelial function
and reduce postoperative cardiac events.
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