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目的:观察薯蓣皂苷加小剂量前列腺素E(1PGE1)对不稳定型心绞痛(UAP)的有效性及其副作用。方法:66例UAP患者,在扩冠脉、抗凝、PGE1等常规治疗的基础上,按入院顺序随机分治疗组36例,在原治疗基础上加薯蓣皂苷480mg,分3次口服。另30例作为对照保持原治疗不变。观察12个月内心绞痛发作的次数及其持续时间、急性心肌梗塞的发生率,常规心电图ST-T恢复情况,每天服用硝酸甘油的用量,血脂变化等,并进行统计学分析。结果:治疗组急性心肌梗塞的发生率明显减少,心电图恢复理想,血脂改善显著,与对照组比较具有统计学意义,P<0.05。结论:薯蓣皂苷加小剂量PGE1对UAP疗效显著,副作用小,有进一步推广的价值。
Objective: To observe the effectiveness and side effects of diosgenin plus low-dose prostaglandin E (1PGE1) on unstable angina pectoris (UAP). Methods: Sixty-six patients with UAP were randomly divided into treatment group (36 cases) on the basis of routine coronary artery bypass surgery, anticoagulation and PGE1 treatment. 480 cases of diosgenin were orally administrated on the basis of the original treatment. The other 30 cases as a control to maintain the original treatment unchanged. The number and duration of angina pectoris, the incidence of acute myocardial infarction, the recovery of routine electrocardiogram (ST-T), the daily dosage of nitroglycerin and the changes of blood lipids were observed and analyzed statistically in 12 months. Results: The incidence of acute myocardial infarction in the treatment group was significantly reduced, the ECG recovery was satisfactory, and the blood lipid was significantly improved, which was statistically significant compared with the control group (P <0.05). Conclusion: Diosgenin and small dose of PGE1 have obvious curative effect on UAP with small side effects, which has the value of further promotion.