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三甲散加减联合西医常规治疗急性冠脉综合征临床研究 被引量:1

Clinical Observation of Modified Sanjia Powder Combined with Conventional Western Medicine for Treatment of Acute Coronary Syndrome
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摘要 目的:观察三甲散加减联合西医常规治疗急性冠脉综合征(ACS)的疗效及对炎症因子影响。方法:将93例ACS患者随机分为2组。对照组给予抗凝、抗血小板聚集、抗心肌缺血等常规治疗;治疗组在对照组治疗基础上加用三甲散为基础方加减治疗。疗程2周,比较治疗前后2组疗效及观察血清超敏C-反应蛋白(hs-CRP)、基质金属蛋白酶9(MMP-9)的含量变化。结果:治疗组总有效率为87.5%,优于对照组的64.4%,差异有显著性意义(P<0.05)。2组治疗后hs-CR P、MMP-9均较治疗前降低(P<0.05),治疗组较对照组降低更明显,差异有显著性意义(P<0.05)。结论:三甲散加减联合西医常规治疗能有效抑制炎症因子,其可能为治疗ACS的机制所在。 Objective: To observe the therapeutic effect of modified Sanjia powder combined with conventional western medicine for treatment of acute coronary syndrome(ACS), and to explore its effect on inflammatory factors. Methods: Ninety-three ACS patients were randomly divided into two groups. The control group was given conventional anticoagulant, anti-platelet aggregation, anti-myocardial ischemia treatment. Based on the treatment for the control group, the treatment group was given oral use of modified Sanjia powder. The treatment course in both groups lasted 2 weeks. After treatment the therapeutic effect was evaluated, and the changes of the serum contents of high-sensitivity C reactive protein(hs-CRP)and matrix metalloproteinase 9(MMP-9) were observed. Results: The total effective rate was 87.5% in the treatment group, and was superior to 64.4% in the control group, the difference being statistically significant (P 〈 0.05). The serum contents of hs-CRP and MMP-9 were decreased in the two groups after treatment (P 〈 0.05 compared with those before treatment). Conclusion: The therapeutic mechanism of modified Sanjia powder combined with conventional western medicine for ACS probably is related with the inhibition of inflammatory factors.
出处 《新中医》 CAS 2014年第3期37-39,共3页 New Chinese Medicine
基金 成都中医药大学科技发展基金项目
关键词 急性冠脉综合征 三甲散加减 超敏C-反应蛋白(hs—CRP) 基质金属蛋白酶9(MMP-9) Acute coronary syndrome Modified Sanjia powder High-sensitivity C reactive protein (hs-CRP) Matrix metalloproteinase 9(MMP-9)
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