GONG Zhaohui, LI Rong, WU Wei, et al. Clinical Observation on Ligustrazini Injection in Treating 50 Patients with Acute ST Elevation Myocardial Infarction[J]. Journal of Traditional Chinese Medicine2016, 57(21): 1850-1853.
GONG Zhaohui, LI Rong, WU Wei, et al. Clinical Observation on Ligustrazini Injection in Treating 50 Patients with Acute ST Elevation Myocardial Infarction[J]. Journal of Traditional Chinese Medicine2016, 57(21): 1850-1853.DOI: 10.13288/j.11-2166/r.2016.21.013.
Clinical Observation on Ligustrazini Injection in Treating 50 Patients with Acute ST Elevation Myocardial Infarction
Objective To evaluate the effectiveness and safety of Ligustrazini Injection in post-treating acute ST elevation myocardial infarction( STEMI). Methods Randomly divided 100 cases of patients with STEMI and adopting percutaneous coronary intervention into control group and test group
with 50 cases each. The control group was given Tirofiban Hydrochloride Injection 10 μg / kg for intracoronary injection after balloon dilatation with continuous intravenous pump of 0. 2 mg / h for 48 hours after operation. The test group was given Tirofiban Hydrochloride Injection10 μg / kg for intracoronary injection after balloon dilatation. After this
20 mg ligustrazini injection was given for intracoronary injection. After the operation
on the basis of tirofiban treatment in the control group
intravenously given ligustrazine hydrochloride injection 80 mg / d for 7 days. Compared ST segment elevation range on electrocardiogram
creatine kinase( CK)
creatine kinase MB( CK-MB)
phospholipase A2
coronary corrected TIMI frame count( CTFC)
left ventricular ejection fraction( LV-EF) and function of platelet aggregation( PAG%) in two groups before and after treatment
and observed adverse reactions. Results The total effective rate of the test group was93. 6%
remarkably higher than those of the control group of 83. 3%( P = 0. 033). The level of CTFC
PAG%
the range of ST segment elevation
CK
CK-MB
phospholipase A2 of two groups after treatment all remarkably decreased while that of LV-EF remarkably increased( P < 0. 01). The level of CTFC
PAG%
the range of ST segment elevation
CK-MB and phospholipase A2 of the experiment group were all remarkably lower than those of the control group( P < 0. 05 or P < 0. 01). Patients in both groups had no obvious adverse reactions. Conclusion Ligustrazini injection in post-treating STEMI had exact curative effects and could decrease myocardial damage with good safety.
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