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目的:探讨中医疗法对心肌梗死患者介入术后心肌再灌注及心功能的影响。方法:选择平顶山市第二人民医院2014年3月至2016年3月收治的106例行介入手术治疗的心肌梗死患者作为研究对象,将患者分为观察组与对照组,每组各53例,对照组患者术后给予常规西医治疗,观察组患者在此基础上给予中医辨证治疗,观察两组患者术中灌注分级及术后心功能相关指标。结果:观察组患者术中心肌部分或完全再灌注率为86.8%,高于对照组患者的66.0%,差异具有统计学意义(P<0.05);观察组患者术后左室收缩末容积(LVESV)、左室射血分数(LVEF)及每搏输出量(SV)水平均优于对照组患者,差异具有统计学意义(P<0.05),观察组患者术后心功能改善情况优于对照组患者。结论:中医药治疗能够有效减轻心肌梗死患者介入手术后心肌再灌注损伤,改善心功能。
Objective: To investigate the effect of traditional Chinese medicine (TCM) on myocardial reperfusion and cardiac function after myocardial infarction in patients with myocardial infarction. Methods: A total of 106 patients with myocardial infarction underwent interventional surgery from March 2014 to March 2016 in Pingdingshan Second People’s Hospital. The patients were divided into observation group and control group, with 53 cases in each group. The patients in the control group were given routine western medicine after operation. The patients in the observation group were treated with syndrome differentiation based on the traditional Chinese medicine. The intraoperative perfusion grade and postoperative cardiac function related indexes were observed. Results: The partial or complete reperfusion rate in the observation group was 86.8%, which was significantly higher than that in the control group (66.0%, P <0.05). The left ventricular end systolic volume (LVESV) ), Left ventricular ejection fraction (LVEF) and stroke volume (SV) were better than those in the control group, the difference was statistically significant (P <0.05). The improvement of postoperative cardiac function in the observation group was better than that in the control group patient. Conclusion: TCM treatment can effectively reduce myocardial reperfusion injury and improve cardiac function after myocardial infarction.