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目的:观察中西医结合治疗对不同心肌梗死溶栓(TIMI)危险评分的不稳定型心绞痛(UA)患者血瘀证积分的干预作用,为临床治疗UA提供一定参考。方法:根据TIMI评分量表的危险评分值,最终纳入符合标准的UA(心血瘀阻证)患者63例,低、中、高危组各21例。3组患者均在采用常规西药强化治疗基础上,联合应用丹参川芎嗪注射液10mL,静脉滴注,每日1次,治疗14d,观察3组患者治疗前后血瘀证总积分、血瘀证中各单项症状积分、心绞痛症状、中医证候积分变化。结果:中西医结合治疗UA患者能不同程度地改善各TIMI评分组患者血瘀证总积分、血瘀证中各单项症状积分(P<0.05,P<0.01)。同时观察到治疗后3组患者心绞痛症状、中医证候积分均有不同程度改善(P<0.05,P<0.01),TIMI高危组临床疗效最明显。结论:中西医结合治疗可有效干预63例UA患者血瘀证积分,尤其TIMI评分高危组21例患者治疗后血瘀证积分的改善更为明显,可为临床治疗UA提供一定参考依据。
Objective: To observe the intervention effect of integrated traditional Chinese and western medicine on blood stasis syndrome score in patients with unstable angina pectoris (UA) with different risk of myocardial infarction thrombolysis (TIMI) score, and to provide some reference for clinical treatment of UA. Methods: According to the risk score of the TIMI scale, 63 patients with UA (blood stasis syndrome) were finally enrolled in the study, and 21 patients in the low, middle and high risk groups. All patients in the three groups were treated with routine western medicine intensive therapy, and 10 mL of Salviae Miltiorrhizae ligustrazine injection was administered intravenously once a day for 14 days. The total score of blood stasis syndrome before and after treatment in the three groups was observed. In the blood stasis syndrome The individual symptom score, angina pectoris, TCM syndrome score changes. Results: UA patients treated with TCM and WM could improve the total score of blood stasis syndrome and individual symptom scores of blood stasis syndrome in each TIMI score group (P <0.05, P <0.01). At the same time, we observed that the angina pectoris symptom and TCM syndrome score of the three groups of patients were all improved to some extent (P <0.05, P <0.01), and the clinical effect of TIMI high risk group was the most obvious. Conclusion: Integrative treatment can effectively intervene in 63 cases of UA patients with blood stasis score, especially TIMI score high risk group of 21 patients after treatment, the improvement of blood stasis score points more obvious, which can provide some reference for the clinical treatment of UA.