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目的探讨益气化瘀汤联合氯吡格雷及阿司匹林治疗急性心肌梗死(AMI)的临床疗效。方法将2012年7月至2015年3月于我院确诊为急性心肌梗死共60例患者纳入研究并随机分组,两组均依据急性心肌梗死指南予常规治疗,对照组30例患者抗凝药物采用阿司匹林治疗,治疗组30例患者则联合益气化瘀汤、氯吡格雷治疗,比较两组患者心梗复发率、病死率发生率情况;比较两组患者临床疗效差异。结果治疗组患者心梗复发率、病死率更低及总有效率则更高,治疗组改善更显著,P<0.05。结论益气化瘀汤联合氯吡格雷及阿司匹林治疗急性心肌梗死疗效显著,可大幅提高临床疗效,但仍安全可靠,值得推广。
Objective To investigate the clinical efficacy of Yiqi Huayu Decoction combined with clopidogrel and aspirin in the treatment of acute myocardial infarction (AMI). Methods A total of 60 patients diagnosed as acute myocardial infarction in our hospital from July 2012 to March 2015 were included in the study and randomly divided into two groups according to the guidelines for acute myocardial infarction. The control group, 30 patients with anticoagulant drugs Aspirin treatment, the treatment group 30 patients were combined Yiqi Huayu Decoction, clopidogrel treatment, the two groups of patients with myocardial infarction recurrence rate, the incidence of mortality; compare the two groups of patients with clinical efficacy differences. Results In the treatment group, the recurrence rate, mortality and total effective rate of myocardial infarction were higher, and the treatment group improved more significantly (P <0.05). Conclusion Yiqi Huayu Decoction combined with clopidogrel and aspirin in the treatment of acute myocardial infarction significant effect, can significantly improve the clinical efficacy, but still safe and reliable, it is worth promoting.