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尿激酶溶栓治疗不稳定心绞痛疗效观察

Clinical effect of urokinase thrombolysis in unstable angina
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摘要 目的对比尿激酶(UK)与肝素治疗不稳定心绞痛(UA)中的疗效。方法采用有对照完全随机化方法。小剂量尿激酶溶栓前增加静脉推注3000U肝素。观察两组心绞痛发作,30天病死率和急性心肌梗塞(AMI)发生率。结果小剂量尿激酶(UK)组在心脏事件(死亡+AMI例数)的发生率低于肝素组,减少频发心绞痛发生率优于肝素组。结论小剂量尿激酶溶栓前加强抗凝血酶治疗,在降低频发心绞痛发生率、30天内AMI发生率和病死率优于肝素组。 Absrtact:Objective:To evaluate the clinical effect of urokinase(UK)in unstable angina(UK).Methods:This was a placebo-controlled randomized clinical trial.In law-dose UK group heparin 3000U iv before thrombolylic therapy. Attack of angina incidences mortity of AMI within 30 days was monitired between the thrombolylic and control groups.Results:In low-does UK group mortity of cariacevent and incidenses of AMI were lower and the number of patient with frequent anigina was significant decrease than the control group.Conclusion:In law-dose UK group enhancing antithrombin therapy before thrombolylic therapy reduced the rate of attack of frequent angia and AMI morthly within 30 days.
机构地区 新钢中心医院
出处 《井冈山医专学报》 2002年第6期2-3,共2页 Journal of Jinggangshan Medical College
关键词 疗效 不稳定心绞痛 尿激酶 溶栓疗法 UA unstable angina urokinase thrombolylic
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参考文献3

  • 1Bar FW, Vrthrugt FW, Col J, et al. Thromboysis in patients with unstable angina improves the angiographic but not the chnucal outcome, Clinical trial with anistreplase [J]. Circulation, 1992, 86:131-137.
  • 2TIMI Ⅲ B Investigatoars effects of tissue plasminogen activator and comparison of early invasive and consevative strategies in unstable angina and Non-Q-Wave myocardial infarction. Results of the TIMI Ⅲ B Trial[J]. Circulation, 1994, 89: 1545-1556.
  • 3Schoebel FC, Leschke M, Jax TW, et al. Chronic intermittent urokinase therapy in patients with end-stage corinay artery disease and refractory angina pectoris-A Plot study [J], Chin Cardil, 1996, 19:115-120.

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