葛根素防治急性冠状动脉综合征介入术后再狭窄疗效观察The Clinical Observation on Puerarin Preventing Restenosis after Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome
包宗明,吴士礼,史晓俊,王洪巨,蔡鑫,张恒,高大胜
摘要(Abstract):
目的探讨葛根素防治急性冠状动脉综合征(ACS)介入术后再狭窄的疗效。方法将76例首次接受冠状动脉介入(PCI)治疗的ACS患者随机分为葛根素组(32例,予西医常规治疗加葛根素)和对照组(44例,予西医常规治疗),术后随访6个月,观察两组症状,心电图改变及冠状动脉造影检查。结果术前和术中两组在冠心病危险因素、病变特点和手术条件等方面差异无显著性;经6个月随访,葛根素组再狭窄2例(6.2%),并再次经PCI治疗成功;对照组再狭窄14例(31.8%),其中8例再次行PCI治疗,余6例因家属拒绝手术而加用葛根素保守治疗后胸痛缓解,两组再狭窄率比较差异有显著性。两组均无心肌梗死及猝死发生。结论在ACS患者PCI术后再狭窄的防治中,葛根素具有一定效果。
关键词(KeyWords): 急性冠状动脉综合;征冠状动脉介入治疗;再狭窄;葛根素
基金项目(Foundation):
作者(Author): 包宗明,吴士礼,史晓俊,王洪巨,蔡鑫,张恒,高大胜
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