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[目的]观察丹参川芎嗪注射液联合西药治疗冠心病不稳定性心绞痛。[方法]使用随机平行对照方法,将520例住院患者按病志号抽签方法简单随机分两组。对照组260例拜阿司匹林,100mg/次,1次/d;硫酸氢氯吡格雷,75mg/次,1次/d;倍他乐克,12.5mg/次,2次/d;单硝酸异山梨酯,40mg/次,1次/d;阿托伐他汀钙,20mg/次,每晚1次,睡前口服;盐酸曲美他嗪,30mg/次,3次/d;左卡尼汀2.0g+氯化钠250mL,静点。治疗组260例丹参川芎嗪注射液10mL+氯化钠250mL,静点;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、心电图、不良反应。治疗1疗程,判定疗效。[结果]症状疗效、心电图疗效治疗组优于对照组(P<0.01)。[结论]丹参川芎嗪注射液联合西药治疗冠心病不稳定性心绞痛,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of Salvia Miltiorrhizae ligustrazine injection and western medicine in treating unstable angina pectoris of coronary heart disease. [Methods] Using randomized parallel control method, 520 inpatients were randomly divided into two groups randomly according to the method of lot drawing. In the control group, 260 patients were treated with aspirin, 100mg / time, once daily, clopidogrel hydrogen sulphate, 75mg / time, once daily, betametaporol, 12.5mg / time, twice daily; Isosorbide mononitrate 40mg / time, 1 time / d; atorvastatin calcium, 20mg / time, once per night, before going to bed orally; trimetazidine hydrochloride, 30mg / times, 3 times / d; g + sodium chloride 250mL, static point. The treatment group 260 cases of Salvia Ligustrazine injection 10mL + sodium chloride 250mL, static point; Western medicine treatment with the control group. Continuous treatment 14d for a course of treatment. Observation of clinical symptoms, ECG, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The curative effect and electrocardiogram curative effect were better in the treatment group than in the control group (P <0.01). [Conclusion] Ligustrazine and ligustrazine injection combined with Western medicine in treating unstable angina pectoris of coronary heart disease have satisfactory curative effect and no serious adverse reactions, which deserves promotion.