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[浓缩血府逐瘀丸对43例冠心病冠状动脉内支架置入术后再狭窄影响的临床研究]

[Clinical study on effect of concentrated xuefu zhuyu pill on restenosis of 43 cases coronary heart disease after intracoronary stenting].

作者信息

Yu B, Chen K, Mao J

机构信息

Xiyuan Hospital, China Academy of TCM, Beijing 100091.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 1998 Oct;18(10):585-9.

Abstract

OBJECTIVE

To explore the clinical effectiveness of concentrated Xuefu Zhuyu Pill (CXZP) on restenosis (RS) of coronary heart disease (CHD) after intracoronary stenting.

METHODS

Eighty-four successful intracoronary stenting patients were randomly divided into conventional treatment group (control group, 41 cases) and conventional treatment plus CXZP group (treated group, 43 cases). The follow-up underwent for 6 months. Clinical symptom, change of blood stasis were observed. And occurrence of restenosis was estimated by ECG exercise treadmill testing, emission computed tomography (ECT) and coronary angiography (CAG).

RESULTS

The symptoms of blood stasis of treated group improved in the follow-up significantly (P < 0.01), and the integral of blood stasis were decreased significantly in the treated group vs the conventional treatment group (P < 0.01). The recurrent angina pectoris rate of the treated group was lower than the conventional treatment group (P < 0.01). The 61.9% of 84 patients reexamined the CAG in the follow up, and the lower restenosis rate (25.8%) in the treated group than in the conventional treatment group (32.1%, P = 0.59).

CONCLUSION

There is the trend that CXZP could prevent restenosis. Therefore, it is necessary to increase the cases for further study of CXZP on preventing restenosis.

摘要

目的

探讨浓缩血府逐瘀丸(CXZP)对冠心病(CHD)冠状动脉内支架置入术后再狭窄(RS)的临床疗效。

方法

将84例成功进行冠状动脉内支架置入术的患者随机分为常规治疗组(对照组,41例)和常规治疗加CXZP组(治疗组,43例)。随访6个月。观察临床症状、血瘀变化情况。通过心电图运动平板试验、发射计算机断层扫描(ECT)和冠状动脉造影(CAG)评估再狭窄的发生情况。

结果

治疗组随访期间血瘀症状明显改善(P < 0.01),且治疗组血瘀积分较常规治疗组明显降低(P < 0.01)。治疗组复发性心绞痛发生率低于常规治疗组(P < 0.01)。84例患者中有61.9%在随访中复查了CAG,治疗组再狭窄率(25.8%)低于常规治疗组(32.1%,P = 0.59)。

结论

CXZP有预防再狭窄的趋势。因此,有必要增加病例数进一步研究CXZP预防再狭窄的作用。

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