摘要
目的 :探索药物治疗不稳定性心绞痛尽可能合理的方案。方法 :将 6 5例不稳定性心绞痛患者随机分为A、B、C三组 ,在常规治疗的基础上分别将各组心室率控制在 5 0～ 6 0次 /min、6 1～ 79次 /min和≥ 80次 /min ,血压控制在≤ 110 / 70mmHg、111～ 139/ 71～ 89mmHg和≥ 14 0 / 90mmHg ,观察各组临床症状改善程度及运动耐量、生活质量的变化。结果 :心室率和血压水平控制得越低 ,患者心绞痛发作次数及硝酸甘油用量越少 ,运动耐量增加越明显 ,生活质量也越好。结论 :不稳定性心绞痛患者在常规治疗的基础上 ,将心室率和血压控制在尽量低的水平 ,有助于最大程度地改善患者的临床症状、运动耐量和生活质量。
Objective:To explore rational regime of the treatment for unstable angina(UA).Methods:65 UA patients were randomly divided into group A, B and C. In addition to the conventional treatment, their heart rate (HR) controlgoal is 50～60 bpm, 61～79 bpm and greater than 80 bpm, and blood pressure (BP)control goal is below 110/70mmHg, 111～139/71～89mmHg and greater than 140/90mmHg, respectively. Symtomatic relief, exercise tolerance and quality of life were observed. Results:The lower the HR and BP control level, the less frequenl angina pectoris attack and less nitroglycerin consumption, with improved exercise tolerance and quality of life.Conclusions:On the basis of conventional treatment to reduce HR and BP as low as possible in UA patients is conducive to the improvement of clinical symptoms, exercise tolerance and quality of life.
出处
《中国现代医学杂志》
CAS
CSCD
2003年第13期54-56,共3页
China Journal of Modern Medicine
