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冠心病无痛性心肌缺血的临床诊断及治疗分析 被引量:11

Diagnosis and Treatment of Ischemia Painless Myocardial Coronary Heart Disease
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摘要 目的:探讨冠心病无痛性心肌缺血的临床特点,以及相应的诊断治疗方法,以便达到优秀的治疗效果。方法:将本院心内科于2011年1-9月收治的89例冠心病无痛性心肌缺血患者的临床资料进行分组研究,观察总结患者治疗效果、并发症发生情况对比。以此来具体分析冠心病无痛性心肌缺血的临床特点,以及相应的诊断治疗方法,以便达到优秀的治疗效果。结果:实验组最大耗氧量、CI值、无氧阈值正常的人数比率显著高于对照组,ST段压低的比率显著低于对照组(P<0.05)。实验组治疗效果的总良好率为97.62%,显著高于对照组的82.98%(P<0.05)。对照组患者胸闷与心绞痛的发生率显著高于实验组(P<0.05)。结论:在治疗冠心病无痛性心肌缺血患者的过程中,可以在传统综合治疗的方法上,加用复方丹参滴丸和补中益气丸,以提高治疗效果,减少并发症的发生。 Objective:To investigate the clinical features of painless myocardial ischemia of coronary heart disease,as well as the corresponding diagnosis and treatment methods,in order to achieve the best treatment effect.Method:The clinical data of our hospital in 2011 January-9 months department of cardiology treated 89 cases of painless myocardial ischemia in patients with coronary heart disease were analyzed.Observed patients,the complications contrast effect,the clinical characteristics of coronary heart disease specific analysis of silent myocardial ischemia,and the corresponding diagnosis and treatment methods,in order to achieve the best treatment effect. Results:In the experimental group,maximal oxygen consumption,CI value,anaerobic threshold,normal percentage were significantly higher than that in control group,the ratio of ST segment depression was significantly lower than that of control group(P 0.05). The total rate of the treatment effect of the experimental group was 97.62%,it was higher than that of control group 82.98%. The control rate of patients with angina pectoris chest was significantly higher than that in the experimental group(P 0.05). Conclusion: In the treatment of coronary heart disease in patients with painless myocardial ischemia,we can use the traditional method of comprehensive treatment, combined with Compound Danshen dripping pills and Buzhongyiqi pills,in order to improve the therapeutic effect,reduce the incidence of complications.
作者 林建荣
出处 《中国医学创新》 CAS 2013年第22期26-27,共2页 Medical Innovation of China
关键词 冠心病无痛性心肌缺血 临床诊断 治疗分析 Painless myocardial ischemia of coronary heart disease Clinical diagnosis Treatment analysis
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