期刊文献+

通心络胶囊治疗X综合征伴冠状动脉血流储备异常患者的临床研究 被引量:12

Clinical observation on the therapeutic effect of Tongxinluo capsule on patients with cadiac X-syndrome complicated by abnormality of coronary artery flow reserve
下载PDF
导出
摘要 目的比较通心络胶囊和美托洛尔对伴有冠状动脉血流储备降低心脏X综合征患者的疗效。方法114例心脏X综合征冠状动脉血流储备减低患者,随机分为通心络胶囊组72例,美托洛尔对照组72例。随访治疗3个月后的临床情况,并复查平板运动试验。结果治疗后2组平板运动试验到达终点时间明显延长(P<0.05),通心络胶囊组(7.6min±1.6min)优于美托洛尔对照组(6.1min±1.7min)(P均<0.05)。通心络胶囊组治疗后平板运动试验阳性(治疗前后分别为72例和26例)显著减少(P<0.01),美托洛尔对照组(治疗前后分别为72例和32例)亦减少(P<0.05),2组治疗后比较差异有统计学意义(P<0.05)。结论通心络胶囊能提高心脏X综合征患者的运动耐量,且较美托洛尔更为有效。 Objective To observe the therapeutic effect of Tongxinluo capsule on patients with cadiac X-syndrome complicated with abnormality of coronary artery flow reserve( CFR). Methods 114 patients with cadiac X-syndrome complicated by abnormality of coronary artery flow reserve were randomly divided into Tongxinluo group( n = 72) and metoprolol group( n = 72). The patients' clinical symptoms were followed up after 3-month treatment and treadmill test was reexamined. Results The time of termination of treadmill test in both groups was prolonged obviously after treatment, which was (7.6 ± 1.6) min and ( 5.4 ± 1.5 ) min in Tongxinluo group, ( 6.1 ± 1.7 ) min and (5.3 ± 1.3)min in metoprolol group( P 〈0.05) .In Tongxinluo group, the numbers of patents with chest pain were 72 cases and 14 cases (before and after treatment, P 〈 0.01 ), the positive numbers of treadmill test were 72 cases and 26 cases ( before and after treatment, P 〈 0.01 ), and both were significantly decreased. Coclusion Tongxinluo could increase the exercise tolerance in patients with cadiac X-syndrome complicated by abnormality of coronary artery flow reserve, which is superior to that of metoprolol.
作者 路航 马荣荣
出处 《疑难病杂志》 CAS 2007年第11期655-657,共3页 Chinese Journal of Difficult and Complicated Cases
关键词 通心络胶囊 美托洛尔 X综合征 冠状动脉血流储备 Tongxinluo Metoprolol X-syndrome Coronary artery flow reserve
  • 相关文献

参考文献12

  • 1张奇,沈卫峰,张建盛,张大东,张瑞岩,吕安康.冠状动脉内支架术后即刻血流储备的变化[J].中国循环杂志,2002,17(1):35-37. 被引量:5
  • 2吴宁.运动负荷试验//陈敏章.中华内科学[M].北京:人民卫生出版社,1999.1789.
  • 3刘国仗,胡大一,陶萍,诸骏仁,郭林妮,郭静萱,游凯.心血管药物临床试验评价方法的建议[J].中华心血管病杂志,1998,26(1):5-11. 被引量:1440
  • 4Cannon Ro, Sehenke WH, Quggumi A, et al. Comparison of exercise testing with, studies of coronary flow, in patients with micro vascular angina [J]. Circulation, 1991,83(Suppl 5) :71-81.
  • 5Kaski JC. Russo G. Microvascular angina inpatients with syndrome X[J]. Z Kardiol,2000.89(Suppl 9) : 121-125.
  • 6Yamamoto S, Janles TN, Kawamura K, et al, Cadioeytie apoptosis and capillary endothelial swelling as morphological evidence of myocardial ischemia in ventricular biopsies form patients with angina and nomral eorona~j arteriograms[J]. Coron Artery Dis, 2002, 13 ( 1 ) : 25-35.
  • 7Tousoulis D, Davies GJ, Asinvakopoulos G, et al. Vascular cell adhesion molecule-1 and intercellular adhesion molecule-1 serum leve in patients with chest pain and norntal coronary arteries (syndrome X)[J].Clin Cardiol, 2001.24(4) : 301-304.
  • 8赵丹洋,赵明奇,刘艳,等.通心络改善缺血心肌供血的NO机制研究[N].中国医学论坛报,2004-10-21.
  • 9刘慧,胡永寸,陈俭.通心络对X综合征患者血管内皮功能的影响[J].疑难病杂志,2003,2(4):218-219. 被引量:12
  • 10李文慧,宋彦恩,沈文,肖凤英,申霄.中西医结合治疗冠心病不稳定型心绞痛83例临床分析[J].中国全科医学,2001,4(9):752-752. 被引量:4

二级参考文献31

  • 1陈贵廷 薛赛琴.最新国内外疾病诊疗标准[M].北京:学苑出版社,1991.286-288.
  • 2第一届全国内科学术会议心血管病组.关于冠状动脉性心脏病命名及诊断标准的建议[J].中华心血管病杂志,1981,9(1):75-76.
  • 3[1]Fischman DL,Leon MB,Baim D,et al .A randomized comparison of coronary stent placement and balloon angioplasty in the treatment of coronary artery disease.N Eng J Med,1994,331:496-501.
  • 4[2]Kern MJ,Deligonul U,Vandormael M,et al.Impaired coronary vasodilatory reserve in the immediate postcoronary angioplasty period:Analysis of coronary arterial velocity flow indexs and regional cardiac venous efflux.J Am Coll Cardiol,1989,13:860-872.
  • 5[3]Shen WF,Gong LS,Zhang JS,et al. Infarcted artery recanalization and collateral circulation in patients with myocardial infartion.Chin Med J,1988,101:915-918.
  • 6[4]Zijlstra F,Reiber JHC,Lubsen J.Assessment of immediate and longterm functional results of percutaneous transluminal coronary angioplasty.Circulation,1988,78:15-24.
  • 7[5]Wilson RF,Laughlin DE,Ackell PH.Transluminal,subselective measurement of coronary artery blood flow velocity and vasodilator reserve in man.Circulation,1985,72:82-92.
  • 8[6]Kern MJ,Dupouy P,Drury JH,et al.Role of coronary artery lumen enlargement in improving coronary blood flow after balloon angioplasty and stenting:A combined intravascular ultrasound Doppler flow and imaging study. J Am Coll Cardiol,1997,29:1510-1517.
  • 9[7]Shen WF,Cai X,Zhang X,et al.Assessment coronary flow reserve in patients with angina and hypertensive left ventricular hypertrophy.Chin Med J,1996,109:376-380.
  • 10[8]Uren NG,Crake T,Lefroy DC,et al.Delayed recovery of coronary resistive vessel function after coronary angioplasty.J Am Coll Cardiol,1993,21:612-621.

共引文献1605

同被引文献359

引证文献12

二级引证文献113

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部