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接受丹参多酚酸盐治疗稳定型心绞痛患者的治疗反应相关的患者特征。

Patient characteristics associated with treatment response in patients receiving salvianolate injection for stable angina.

机构信息

Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu, China.

West China School of Public Health, Sichuan University, Chengdu, China.

出版信息

J Evid Based Med. 2018 May;11(2):83-88. doi: 10.1111/jebm.12282. Epub 2018 Jan 11.

DOI:10.1111/jebm.12282
PMID:29322692
Abstract

OBJECTIVE

To explore patient characteristics associated with treatment response in patients receiving salvianolate injection for stable angina.

METHODS

An analysis was conducted of data from a multicenter, phase IV clinical trial undertaken in China that enrolled 2150 patients hospitalized for stable angina from 50 hospitals. The treatment outcomes were changes of angina severity and nitroglycerin use between baseline and the last day of treatment. We used logistic regression models to explore patient characteristics associated with the treatment response.

RESULTS

Patients who were overweight or obese (OR 1.20, 95% CI 1.01 to 1.44), present with hypertension (OR 1.23, 95% CI 1.01 to 1.49), experienced with 3 or more episodes of angina per week (OR 1.77, 95% CI 1.44 to 2.17), or concomitantly using antiplatelet agents (OR 1.44, 95% CI 1.17 to 1.78) were associated with better treatment response defined with the change of angina severity. Those of overweight or obesity (OR 1.57, 95% CI 1.17 to 2.12) or concomitantly using calcium antagonists (OR 2.38, 95% CI 1.39 to 4.08) fared better treatment response according to discontinuation or reduction of nitroglycerin use.

CONCLUSIONS

Patients diagnosed with stable angina and receiving salvianolate injection might fare better treatment response if they were overweight or obese, experienced with hypertension, three or more episodes of angina per week, or concomitantly using antiplatelet agents and calcium antagonists.

摘要

目的

探讨使用丹参多酚酸盐治疗稳定性心绞痛患者的治疗反应与患者特征的相关性。

方法

对在中国进行的一项多中心、IV 期临床试验进行了分析,该试验共纳入了 50 家医院因稳定性心绞痛住院的 2150 例患者。治疗结局为治疗前后心绞痛严重程度和硝酸甘油使用量的变化。我们使用逻辑回归模型探讨了与治疗反应相关的患者特征。

结果

超重或肥胖患者(OR=1.20,95%CI:1.01-1.44)、合并高血压患者(OR=1.23,95%CI:1.01-1.49)、每周心绞痛发作 3 次或以上的患者(OR=1.77,95%CI:1.44-2.17)或同时使用抗血小板药物的患者(OR=1.44,95%CI:1.17-1.78),与心绞痛严重程度变化定义的更好的治疗反应相关。超重或肥胖患者(OR=1.57,95%CI:1.17-2.12)或同时使用钙拮抗剂的患者(OR=2.38,95%CI:1.39-4.08),根据硝酸甘油的停药或减量,治疗反应更好。

结论

患有稳定性心绞痛并接受丹参多酚酸盐治疗的患者,如果超重或肥胖、合并高血压、每周心绞痛发作 3 次或以上、或同时使用抗血小板药物和钙拮抗剂,可能会有更好的治疗反应。

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