文章摘要
尼可地尔对心绞痛患者丙二醛与脂联素水平的影响
Effect of nicorandil onmalondialdehyde and adiponectin levels in patients with angina
投稿时间:2015-10-22  
DOI:10.3969/j.issn.1000-0399.2016.12.024
中文关键词: 尼可地尔  PCI术  心绞痛  丙二醛  脂联素
英文关键词: Nicorandil  Percutaneous coronary intervention  Angina  Malondialdenhyd  Adiponectin
基金项目:
作者单位
赵莉 716000 陕西延安 延安大学附属医院心脑血管病分院心血管内科 
白延平 716000 陕西延安 延安大学附属医院心脑血管病分院心血管内科 
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中文摘要:
      目的 观察尼可地尔对经皮冠状动脉介入(PCI)术后心绞痛患者的疗效,探讨其对丙二醛(MDA)与脂联素(APN)水平的影响。方法 将延安大学附属医院心脑血管病分院2013年1月至2015年1月收治的180例PCI术后心绞痛患者随机分为两组,对照组(90例)采用常规治疗,观察组(90例)在此基础上口服尼可地尔。比较两组疗效和患者MDA与APN水平。结果 观察组患者治疗有效率为96.7%,对照组为81.1%,两组差异有统计学意义(P<0.05)。治疗后,两组心绞痛发作次数均较治疗前显著降低(P<0.05),观察组治疗后心绞痛状况优于对照组,差异有统计学意义(P<0.05)。两组患者治疗后的硝酸甘油用量均较治疗前显著降低(P<0.05),观察组治疗后的硝酸甘油用量显著少于对照组(P<0.05)。两组患者治疗后的MDA、总胆固醇、三酰甘油和低密度脂蛋白水平均较治疗前显著降低(P<0.05),观察组治疗后的各项指标均优于对照组,差异有统计学意义(P<0.05)。两组患者治疗后的APN均较治疗前显著升高(P<0.05),且观察组高于对照组,差异有统计学意义(P<0.05)。治疗期间,观察组患者共出现3例腹胀、恶心,对照组患者出现2例面红、头痛,两组差异无统计学意义(P>0.05)。结论 PCI术后心绞痛的患者应用尼可地尔能够有效改善心绞痛症状,减轻心肌损伤,改善预后。
英文摘要:
      Objective Toobserve the clinical effect of nicorandil onangina patients with percutaneous coronary intervention,andexplore the effect of nicorandil onmalondialdehyde and adiponectin levels in patients with angina.Methods A total of 180 cases of angina patients with percutaneous coronary intervention received from January 2013 to January 2015 in Affiliated HospitaltoYan'an Universitywere randomly divided into two groups:the control group(90 cases)which received conventional therapy, and observation group(90 cases) which received conventional therapy.Results The effective rate in observation group(96.7%) was significantly higher than that in control group(81.1%) (P<0.05). After the treatment, the angina attack frequency in two groups decreased (P<0.05), but the observation group changed more significantly (P<0.05).The amount of nitroglycerin after treatment was significantly lower than before (P<0.05),and the amount in observational group was significantly lower thanthat in control group (P<0.05). After treatment, the levels of MDA, total cholesterol, triglyceride and low density lipoprotein were significantly lower than those before (P<0.05),and the indexes were significantly better thanthose in control group (P<0.05).The APN levels were significantlyincreased after treatment (P<0.05), and APN levelsin observation group were significantly higher than in control group (P<0.05).There were three cases of abdominal distension and nausea in the observation group and two cases of redness and headache in the control group, andthere was no significant difference between the two groups (P>0.05).Conclusion Angina patients with PCI treated with nicorandil can effectively improve the symptoms of angina, reduce myocardial injury and improve the prognosis.
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