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目的探讨中西医结合治疗青年急性心肌梗死(AMI)患者的临床疗效及对心功能的影响。方法选取雷州市人民医院自2015年5月至2017年6月收治的青年AMI患者76例为研究对象,按随机数字表法分为观察组与对照组,每组38例。对照组患者给予单一西药疗法治疗,观察组患者则给予中西医结合治疗,比较两组患者的治疗效果。结果观察组患者的治疗总有效率显著高于对照组,差异有统计学意义(P<0.05);两组治疗后的左室射血分数(LVEF)、左心室收缩末期容积(LVESV)、左心室舒张末期容积(LVEDV)较治疗前均有明显改善,但观察组患者的LVEF提高程度明显优于对照组,LVESV、LVEDV下降程度明显优于对照组,差异均有统计学意义(均P<0.05);观察组患者治疗期间心脏不良事件发生率显著低于对照组,差异有统计学意义(P<0.05)。结论针对青年AMI患者给予中西医结合治疗,疗效理想,能够显著改善患者心功能,且安全性较高。
Objective To explore the clinical efficacy and the effect on cardiac function of patients with acute myocardial infarction (AMI) treated by integrated traditional Chinese and western medicine. Methods A total of 76 young patients with AMI who were treated in Leizhou People’s Hospital from May 2015 to June 2017 were divided into observation group and control group according to random number table method, with 38 cases in each group. Patients in the control group were treated with a single western medicine, while those in the observation group were treated with integrated traditional Chinese and western medicine. The treatment effect was compared between the two groups. Results The total effective rate in the observation group was significantly higher than that in the control group (P <0.05). The left ventricular ejection fraction (LVEF), left ventricular end-systolic volume (LVESV) LVEDV was significantly improved compared with that before treatment, but the improvement of LVEF in observation group was better than that of control group. The decrease of LVESV and LVEDV was significantly better than that of control group (all P < 0.05). The incidence of cardiac adverse events in observation group was significantly lower than that in control group (P <0.05). Conclusion The treatment of AMI in young patients with Integrative Medicine, the effect is ideal, can significantly improve the patient’s cardiac function, and higher safety.