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目的观察口服地尔硫(合心爽)治疗不稳定型心绞痛的临床疗效。方法45例不稳定型心绞痛患者予合心爽30mg,每日3次口服,观察心绞痛发作情况,心电图及血压心率变化。结果45例患者用药前后,平均心绞痛发作次数减少,每次持续时间缩短;其中38例用药后的48h内未再发作心绞痛,患者异常ST恢复。5例心电图缺血性表现明显改善,2例无改善;口服地尔硫血压下降,心率减慢,出现1例窦性心动过缓,1例皮疹,经停服药物后给予对症处理均好转。结论口服合心爽维持治疗不稳定型心绞痛是安全的、有效的。
Objective To observe the clinical efficacy of oral diltiazem (combined heart and cool) in the treatment of unstable angina pectoris. Methods Forty - five patients with unstable angina pectoris were treated with 30 mg of heart rate and 3 times daily. The angina pectoris, ECG and blood pressure and heart rate were observed. Results Before and after treatment, the average number of angina attacks decreased and the duration of each episode decreased. Among the 38 patients, no recurrence of angina was found within 48 hours after treatment, and the abnormalities of ST were recovered. 5 cases of ECG was significantly improved ischemic performance, 2 cases did not improve; oral diltiazem blood pressure decreased, heart rate slowed down, there was 1 case of sinus bradycardia, 1 case of rash, after stopping the medication given symptomatic treatment were better . Conclusion Oral concentric cool maintenance treatment of unstable angina pectoris is safe and effective.