巴曲酶与噻氯匹啶联用治疗脑梗死30例疗效观察

2002年1月～2002年8月,我院联用巴曲酶与噻氯匹啶治疗脑梗死30例,对其疗效进行观察,并与蝮蛇抗栓酶组进行比较,现将结果报告如下。 一般资料:本组60例脑梗死患者,均经神经系统检查及头颅CT确诊。入组标准:发病3天,首次发病或既往发病均     

分析盐酸替罗非班氯化钠注射液与心血管介入治疗急性心肌梗死患者的治疗有效率

目的 探究急性心肌梗死患者应用心血管介入与盐酸替罗非班氯化钠注射液治疗的临床效果.方法 便利选取该院2017年3月—2019年3月收治的74例急性心肌梗死患者为研究对象,用数字随机分组的方法将其分成研究组(n=37)和对照组(n=37),对照组应用心血管介入治疗,研究组在对照组的基础上联合应用盐酸替罗非班氯化钠注射液治...     

肾动脉自发性夹层伴血栓形成致双肾梗死一例

1 临床资料 男性患者,39岁.因腰腹痛伴血压升高1个月入院.患者1个月前无明显诱凶出现右下腹持续性疼痛,时轻时重,体温37.7℃,最高达38.9℃.疼痛持续3～4天,右下腹疼痛缓解,转为左腰部疼痛,亦呈持续性.于当地省级医院就诊,磁共振成像(MRI)提示舣肾梗死.患者发病伴有血压升高,最高150/100 mmHg(1 mmHg=0.133 kPa),间断服用降压药,血压维持在140/100 mmHg,为进一步诊断治疗而我来院.既往无高血压史,否认高血压家族史.吸烟史5年,20支/日,偶饮酒少量.     

急性冠状动脉综合征与高敏C反应蛋白相关性研究

Objective To investigate the relation among triglyce ride (TG), low density lipoprotein cholesterol(LD-C) and high sensitivity C reactive protein(hs-CRP) in acute coronary syndrome(ACS). Methods A total of 132 coronary heart disease patients which were divided as ACS and stable coronary heart dis-ease(SCHD)groups and 65 cases of the health physical exam inees were enrolled as the controls. The levels of hs-CRP, TG,HDL-C and LDL-C among the three groups were analyzed. Results The levels of hs-CRP of patients in ACS and SCHD groups were significantly higher than those in controls group(P ＜0.05). The level of hs-CRP in ACS group was obviously higher than that in SCHD group( P ＜0.01 ). There was a significant correlation between the concentration of hsCRP and TG( r = 0.62 ,P ＜ 0.01 ); there was a significant correlation between hs-CRPand LDL-C ( r =0.41, P ＜ 0.01 ); however there was a significantly negative correlation between hs-CRP and HDL-C ( r = -0.54, P ＜0.01 ). Conclusions The hs-CRP level in patients with acute coronary syndrome is obviously increased. hs-CRP is positively correlated with acute coronary syndrome, hs-CRP is the unstable sign of atheromatous plaque.     

解析阿托伐他汀对急性心肌梗死冠脉介入治疗后早期血脂及近期心血管事件的临床效果

目的 探究阿托伐他汀对急性心肌梗死患者冠脉介入治疗后早期血脂及近期心血管事件的影响效果.方法 将2016年8月-2018年12月作为研究时间段,回顾性分析该院在研究时间段内收治的72例急性心肌梗死患者的临床资料,按照患者经冠脉介入治疗后给药方式的不同,将所有研究对象平均分成对照组与研究组两个组别.对照组施以中强度用药,...     

急性冠状动脉综合征与高敏C反应蛋白相关性研究

目的 观察不同类型急性冠状动脉综合征（ACS）患者血清TG、HDL-C、LDL-C水平变化及其与高敏C反应蛋白（hs-CRP）的关系,探讨临床识别和预测ACS的指标.方法 将132例冠状动脉粥样硬化性心脏病（冠心病）患者分为ACS组和稳定型冠心病组（SCHD组）,同时选择66例健康体检者作对照组,分别测定、比较3组的血清TG、HDL-C、LDL-C、hs-CRP水平.结果 ACS组和SCHD组患者血清hs-CRP水平[分别（9.26±10.98）mmol/L和（4.65±7.56）mmol/L]显著高于对照组[（1.21±1.32）mmol/L],差异有统计学意义（P＜0.05）.ACS组血清hs-CRP水平显著高于和SCHD组,差异有统计学意义（P＜0.01）.血清hs-CRP水平与TG含量呈显著正相关（r=0.62,P＜0.01）,与LDL-C含量亦呈明显正相关（r=0.41,P＜0.01）,与HDL-C含量呈显著负相关（r=-0.54,P＜0.01）.结论 ACS患者血清hs-CRP水平显著增高 hs-CRP水平与ACS的严重程度呈正相关,是动脉粥样硬化斑块不稳定的标志.     

地尔硫革治疗不稳定型心绞痛的疗效观察

不稳定型心绞痛(UAP)是一种严重并具有潜在危险的急性冠脉综合征，易发展为急性心肌梗死(AMI)或猝死，且内科常规药物治疗效果欠佳。我院自2002年8月起对30例UAP患者采用地尔硫革治疗，取得满意的疗效。现报告如下。     

原发性高血压患者的心率变异性分析

目的:探讨原发性高血压患者心率变异性的变化。方法:观察76例原发性高血.压患者(观察组)和24例健康人(对照组)的24小时的心率变异性分析.结果:高血压组患者心率变异性时域指标(SDNN、SDANN、SDNNindex、I～SSD)较对照组明显降低,其差异性具有显著性(P<0.01)。结论:原发性高血压患者自主神经系统功能存在一定程度损害。     

冠状动脉支架植入术后支架再狭窄相关因素的临床分析

目的分析冠心病经冠状动脉支架植入术后支架再狭窄（ISR）的相关因素。方法选择接受冠状动脉支架植入术并于6个月后按时随访的患者212例,根据随访的冠脉造影结果分为支架内再狭窄组（ISR组）102例及无支架内狭窄组（非ISR组）110例,单因素分析2组患者年龄、性别、体质量指数、并发症、生化检查及冠脉造影结果等资料的差异。采用二变量Logistic分析其与冠脉内支架再狭窄的关系。结果与非ISR组比较,ISR组患者的吸烟、糖尿病、支架的长度〉30 mm、支架直径〈3.5 mm的比例都显著增加（P均〈0.05）,ISR组患者尿酸水平明显高于非ISR组（P〈0.05）,多因素Logistic分析示吸烟、糖尿病、尿酸、支架直径、支架部位与冠状动脉支架内再狭窄有关。结论吸烟、糖尿病、尿酸、支架直径、支架部位是冠状动脉支架植入术后支架内再狭窄重要的危险因素。     

急性冠状动脉综合征与高敏C反应蛋白相关性研究

Objective To investigate the relation among triglyce ride (TG), low density lipoprotein cholesterol(LD-C) and high sensitivity C reactive protein(hs-CRP) in acute coronary syndrome(ACS). Methods A total of 132 coronary heart disease patients which were divided as ACS and stable coronary heart dis-ease(SCHD)groups and 65 cases of the health physical exam inees were enrolled as the controls. The levels of hs-CRP, TG,HDL-C and LDL-C among the three groups were analyzed. Results The levels of hs-CRP of patients in ACS and SCHD groups were significantly higher than those in controls group(P ＜0.05). The level of hs-CRP in ACS group was obviously higher than that in SCHD group( P ＜0.01 ). There was a significant correlation between the concentration of hsCRP and TG( r = 0.62 ,P ＜ 0.01 ); there was a significant correlation between hs-CRPand LDL-C ( r =0.41, P ＜ 0.01 ); however there was a significantly negative correlation between hs-CRP and HDL-C ( r = -0.54, P ＜0.01 ). Conclusions The hs-CRP level in patients with acute coronary syndrome is obviously increased. hs-CRP is positively correlated with acute coronary syndrome, hs-CRP is the unstable sign of atheromatous plaque.