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小剂量尿激酶、低分子肝素钙联合治疗不稳定型心绞痛的临床观察
引用本文:孔印琢,张洪刚.小剂量尿激酶、低分子肝素钙联合治疗不稳定型心绞痛的临床观察[J].医学理论与实践,2007,20(1):11-13.
作者姓名:孔印琢  张洪刚
作者单位:河南省安阳市第二人民医院心内科,455000
摘    要:目的:观察小剂量尿激酶(UK)与低分子肝素钙联合治疗不稳定型心绞痛(UA)的临床疗效。方法:治疗组采用双盲、随机对照方法,UK剂量为0.5万U.kg-1.d-1于30min内静脉滴入,连续治疗5d,同时低分子肝素钙6150U皮下注射,12h一次,连用5d;对照组除不用UK外余治疗相同。观察心绞痛缓解程度、左室射血分数、心电图心肌缺血总负荷(TIB)、住院时间(HT)。结果:小剂量UK治疗组显效、总有效率优于对照组(P<0.05),TIB减少(P<0.01),HT缩短(P<0.01)。结论:小剂量UK与低分子肝素钙联合治疗UA临床效果显著,明显缩短住院时间。

关 键 词:小剂量尿激酶  低分子肝素钙  不稳定型心绞痛
文章编号:1001-7585(2007)01-0011-03
收稿时间:2006-05-16
修稿时间:2006年5月16日

Clinical Observation of Therapeutic Effect of Low Dose of Urine Kinase Combined with Low Molecule Heparin Calcium for Unstable Angina Pectoris
KONG Yinzhuo,ZHANG Honggang.Clinical Observation of Therapeutic Effect of Low Dose of Urine Kinase Combined with Low Molecule Heparin Calcium for Unstable Angina Pectoris[J].The Journal of Medical Theory and Practice,2007,20(1):11-13.
Authors:KONG Yinzhuo  ZHANG Honggang
Abstract:Objective:To observe the effect of low dose of urine kinase combined with low molecule heparin calcium in treatment of unstable angina pectoris.Methods:In the treatment group the blind and random contrast method was used in this study.50000U·kg~(-1)·d~(-1) of UK was given by intravenous drip within 30min for 5 days.In the control group the treatment methods were same as in the treatment group but UK.The alleviation of angina pectoris,FVEF,TIB and HT were observed.Results: The excellent effective rate and total effective rate in treatment group were higher than that in control group(P<0.05),TIB was reduced(P<0.01) and HT was shortened(P<0.01).Conclusion:The low dose of UK combined with low molecule heparin calcium can obtain satisfactory therapeutic results of UA and shorten the HT.
Keywords:Low dose of urine kinase  Low molecule heparin calcium  Unstable angina pectoris
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