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本文探讨硝酸甘油联用生脉注射液治疗不稳定型心绞痛的临床效果。方法:治疗组60例和对照组60例,共同治疗措施包括休息、吸氧、抗心律失常、控制血糖、控制血压。对照组予硝酸甘油10mg加入5%葡萄糖注射液500ml中摘注,每分钟30滴,每日一次,7-10天为一疗程。治疗组予生脉注射液60ml、硝酸甘油10mp加入5%葡萄糖注射液500ml中静滴,每分钟30滴,每日一次,7-10天一疗程。结果:两组治疗后心绞痛发作频率明显减少(P<0.001);持续发作时间缩短(P<0.001),治疗组治疗后心绞痛发作频率明显低于对照组(P<0.001),提示:生脉注射液能改善心肌微循环、增强心肌细胞耐缺氧能力,有效防止硝酸甘油静滴引起的血压下降,两者联用有效治疗不稳定型心绞痛。
This article discusses the clinical effect of nitroglycerin combined with Shengmai injection in the treatment of unstable angina pectoris. Methods: 60 cases in the treatment group and 60 cases in the control group. The common treatment measures included rest, oxygen inhalation, antiarrhythmic, blood sugar control and blood pressure control. Control group to nitroglycerin 10mg added 5% glucose injection 500ml injections, 30 drops per minute, once daily, 7-10 days for a course of treatment. Treatment group to Shengmai injection 60ml, nitroglycerin 10mp 5% glucose injection 500ml intravenous infusion, 30 drops per minute, once daily, 7-10 days a course of treatment. Results: The frequency of angina pectoris was significantly decreased in both groups (P <0.001), duration of episode was shorter (P <0.001), frequency of angina pectoris in treatment group was significantly lower than that in control group (P <0.001) , Suggesting: Shengmai injection can improve myocardial microcirculation and enhance myocardial hypoxia tolerance, effectively prevent nitroglycerin drops caused by blood pressure drop, both effective treatment of unstable angina pectoris.