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目的 :探讨中西医结合疗法对急性心肌梗死 (AMI)冠状动脉 (冠脉 )再通的影响。方法 :46例 AMI患者随机分为 2组 ,心痛灵与尿激酶合用作为治疗组 (2 6例 ) ,对照组 (2 0例 )单用尿激酶 ,比较 2组治疗后冠脉再通率。结果 :冠脉再通率对照组为 45 .0 % ,治疗组为 80 .8% ,2组比较有显著性差异 (P<0 .0 5 ) ;冠脉再通指征阳性发生率治疗组均明显高于对照组 (P均 <0 .0 5 ) ;治疗组再灌注心律失常恢复率也较对照组为高。结论 :心痛灵与尿激酶合用治疗急性心肌梗死疗效确切 ,并能使再灌注心律失常迅速恢复。
Objective: To investigate the effect of traditional Chinese and western medicine on recanalization of coronary artery (AMI) in patients with acute myocardial infarction (AMI). Methods: 46 AMI patients were randomly divided into 2 groups. Xintongling combined with urokinase (26 cases) and control group (20 cases) with urokinase alone. The rate of coronary recanalization was compared between the two groups. Results: Coronary recanalization rate was 45.0% in the control group and 80.8% in the treatment group, with significant difference between the two groups (P <0.05). The incidence of coronary recanalization was significantly higher in the treatment group Were significantly higher than the control group (all P <0.05). The recovery rate of reperfusion arrhythmia in the treatment group was also higher than that in the control group. Conclusion: The combination of Xintongling and urokinase has the exact effect in treating acute myocardial infarction, and can make the reperfusion arrhythmia recover quickly.