稳心颗粒联合阿替洛尔对老年冠心病患者64排螺旋CT血管造影成像质量的影响

发布时间：2018-03-10 09:35

本文选题：稳心颗粒　切入点：阿替洛尔　出处：《中国医学装备》2016年11期 　论文类型：期刊论文

【摘要】：目的:探讨稳心颗粒联合阿替洛尔对老年气滞血瘀型冠心病患者心率变异性的影响,并研究联合用药在冠心病螺旋CT血管造影(CTA)诊断中的应用价值。方法:选取122例老年气滞血瘀型冠心病患者,采用随机数表法将其分为观察组与对照组,每组61例。观察组患者口服稳心颗粒2周,检查的当日联合应用阿替洛尔后进行CT扫描;对照组检查当日口服阿替洛尔后进行CT扫描。观察比较两组患者心率、心率波动控制情况,分析心率及重建时相对CTA图像质量的影响。结果:观察组患者治疗后冠脉成像质量右冠脉(RCA)、左前降支(LAD)、左旋支(LCX)评分及综合评分明显优于对照组,两组相比有差异(t=0.870,t=0.903,t=1.097,t=0.913;P0.05)。观察组检查过程中平均心率、心率波动及率变异性(HRV)明显优于对照组,两组相比有差异(x~2=6.785,x~2=6.844,x~2=12.151;P0.05)。结论:稳心颗粒联合阿替洛尔治疗可有效改善气滞血瘀型冠心病患者心律失常及心率变异性,提高冠状动脉CTA成像质量,具有临床应用及推广价值。
[Abstract]:Objective: to investigate the effect of Wenxin granule combined with atenolol on heart rate variability in elderly patients with coronary heart disease with Qi stagnation and blood stasis type. To study the value of combined use of drugs in the diagnosis of coronary heart disease with spiral CT angiography. Methods: 122 elderly patients with coronary heart disease with Qi stagnation and blood stasis were randomly divided into two groups: observation group and control group. There were 61 cases in each group. The patients in the observation group were given Wenxin granule for 2 weeks, the patients in the observation group were scanned by CT after the combined use of atenolol on the same day, and the patients in the control group were scanned by CT after taking atenolol on the same day. The heart rate was observed and compared between the two groups. Results: right coronary imaging quality, left anterior descending coronary artery, left anterior descending branch, left lateral branch of left anterior descending branch and left lateral branch of left lateral branch were significantly better in the observation group than in the control group, and the effect of heart rate and reconstruction on the quality of CTA images was analyzed. There was a significant difference between the two groups. The mean heart rate, heart rate fluctuation and rate of variability in the observation group were significantly better than those in the control group, and the mean heart rate, heart rate fluctuation and rate of variability in the observation group were significantly higher than those in the control group, and the mean heart rate, heart rate fluctuation and rate of variability in the observation group were significantly higher than those in the control group. There was a difference between the two groups. Conclusion: the combination of Wenxin granule and atenolol can effectively improve arrhythmia and heart rate variability in patients with coronary heart disease with Qi stagnation and blood stasis type, and improve the quality of coronary CTA imaging, which has clinical application and popularization value.
【作者单位】：唐山市中医医院CT室;唐山市乐亭县中医医院CT室;
【基金】：河北省中医药管理局科研计划(2016231)“稳心颗粒联合阿替洛尔在气滞血瘀证冠心病64排螺旋CT冠脉成像应用价值研究”
【分类号】：R541.4;R816.2

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