1. 福建中医药大学附属第二人民医院康复分院
2. 福建中医药大学中西医结合研究院
3. 福建中医药大学中医证研究基地
4. 福建医科大学省立临床医学院心内科
纸质出版:2012
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[1]郑约保,张娅,李灿东,陈慧.脑心通胶囊干预经皮冠状动脉介入术后抗栓治疗27例临床研究[J].中医杂志,2012,53(04):299-303.
ZHENG Yuebao1, ZHANG Ya2, LI Candong3, et al. Antithrombotic Treatment with Naoxintong Capsule for the Patients Underg oing Percutaneous Coronary Intervention:A Clinical Research on 27 Cases[J]. Journal of Traditional Chinese Medicine2012, 53(4): 299-303.
[1]郑约保,张娅,李灿东,陈慧.脑心通胶囊干预经皮冠状动脉介入术后抗栓治疗27例临床研究[J].中医杂志,2012,53(04):299-303. DOI: 10.13288/j.11-2166/r.2012.04.003.
ZHENG Yuebao1, ZHANG Ya2, LI Candong3, et al. Antithrombotic Treatment with Naoxintong Capsule for the Patients Underg oing Percutaneous Coronary Intervention:A Clinical Research on 27 Cases[J]. Journal of Traditional Chinese Medicine2012, 53(4): 299-303. DOI: 10.13288/j.11-2166/r.2012.04.003.
目的探讨脑心通胶囊干预经皮冠状动脉介入术(PCI)后抗栓治疗的疗效。方法选取行PCI成功且符合纳入标准的冠心病患者54例
随机分为治疗组和对照组各27例。对照组进行术后规范抗栓治疗
治疗组在对照组基础上加用脑心通胶囊
每次4粒
每天3次
连续使用1个月。观察治疗前、治疗后10天气虚证、血瘀证积分及远近期抗栓疗效
同时评估安全性。结果与治疗前比较
治疗组治疗后10天气虚证积分明显降低(P<0.01)
对照组明显升高(P<0.01);两组患者治疗后10天血瘀证积分、最大血小板聚集率(MPA)、血浆遗传性假血友病因子(vWF)、血小板膜糖蛋白Ⅱb/Ⅲa(GPⅡb/Ⅲa)、凝血酶原片段1+2[F(1+2)]和纤维蛋白原(Fg)均明显降低(P<0.01)
但治疗组下降更趋明显(P<0.05);对照组3例发生主要不良心血管事件(MACE)
治疗组均未发生MACE
两组比较差异无统计学意义(P>0.05);两组在服药期间均无主要出血事件和次要出血事件发生。结论脑心通胶囊可明显降低PCI术后10天气虚证、血瘀证积分
抑制血小板活化
保护血管内皮细胞
改善机体凝血功能
且不引起血小板减少和出血等药物不良反应。
Objective To investigate the antithrombotic effect of Naoxintong Caps ule(Capsule for cerebro-coronary vascular diseases) on the patients undergoing percutaneous coronary intervention(PCI).Methods Fifty-four coronary heart di sease patients
who had accepted revascularization by PCI successfully
were randomized into treatment group and control group
27 in each.Bot h groups were medicated with conventional postoperative antithrombotic treatment
while the treatment group was additionally administered Naoxintong Capsule
4 ca psules each time
3 times a day
for 1 month in succession.The scores of qi deficiency syndrome and blood stasis syndrome before treatment and 10 days after treatment
and on the short-term and long-term antithrombotic effect were observed
simultaneously
the safety of antithrombotic treatme nt of Naoxintong Capsule was evaluated.Results Compared w ith before treatment
in the treatment group the score of qi deficiency syndrome 10 d ays after treatment was significantly decreased(P<0.01)
while in the cont rol g roup it was significantly increased(P<0.01).In both groups
the score of blood stasis syndrome
the maximum platelet aggregation(MPA) rate
the plasma heredi tary false hemophilia vonwillibrand factor(vWF)
the platelet membrane glycopro tein Ⅱ b/Ⅲ a(GP Ⅱ b/Ⅲ a)
the prothrombin segment 1 + 2 [F(1 + 2)]
and the fibrinogen(Fg) were reduced significantly 10 days after treatment(P< 0.01)
but the reduction in the treatment group was more significant(P<0.05).In the duration of one-month follow-up after PCI
3 cases in the control group had a major adverse cardiovascular event(MACE)
none of the cases in the treatment group had MACE
a nd the difference between the two groups was not statistically significant in co mparison(P>0.05).In the medication period
there were no major and second ary hemorrhagic complications in both groups.Conclusion In the patients with qi deficiency and blood stasis syndrome
combination of c onventional antithrombotic treatment and Naoxintong Capsule may decrease the sco res of qi deficiency syndrome and blood stasis syndrome 10 days after PCI
inhib it the activity of blood platelet
alleviate the damage of endothelial cells
an d improve the coagulation function.With the administration
there is a reducing tendency for the occurrence of cardiovascular events
and without the decrease of platelets and bleeding complications.
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