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[目的]观察中西医结合防治冠脉支架术后再狭窄的临床应用。[方法]将52例成功接受冠脉内支架的冠心病患者随机分为对照组与治疗组,对照组常规西药口服防治,治疗组在服西药基础上加用益气活血祛痰中药汤剂治疗。对两组患者随访观察6个月。对其心绞痛复发率和不良事件、冠状动脉再狭窄率以及治疗组西药减量及停用情况进行分析比较。[结果]对照组心绞痛复发率及主要不良事件发生率高于治疗组。治疗组再狭窄发生率明显低于对照组。[结论]益气活血祛痰中药联合西药常规治疗对支架术后再狭窄的预防有较好作用。
[Objective] To observe the clinical application of integrated traditional Chinese and western medicine in the prevention and treatment of coronary stent restenosis. [Methods] Fifty-two patients with coronary heart disease who were successfully received coronary stent were randomly divided into control group and treatment group. The control group was treated with conventional western medicine orally. The treatment group was treated with Yiqi Huoxue Huatan decoction based on western medicine. The two groups were followed up for 6 months. The angina recurrence rate and adverse events, coronary restenosis rate and treatment of Western medicine reduction and discontinuation were analyzed and compared. [Results] The recurrence rate of angina pectoris and the incidence of major adverse events in the control group were higher than those in the treatment group. The incidence of restenosis in the treatment group was significantly lower than that in the control group. [Conclusion] Yiqi Huoxue Qutan Chinese traditional medicine combined with western medicine routine treatment of stent restenosis has a good effect.