简介: 【摘要】 目的 研究分析稳定型心绞痛( SA)与不稳定型心绞痛( UA)药物治疗的差异及临床意义。方法 此次研究的对象是选择 2017年 1月~ 2019年 10月期间 180例进行心绞痛治疗的患者,将其临床资料进行回顾性分析,并根据表现类型不同分为稳定组和不稳定组, 各 90例。两组患者均采用美托洛尔治疗。比较两组患者心绞痛、心电图和中医证候总有效率。结果 稳定组心绞痛、心电图和中医证候总有效率分别为 71.11%、 67.78%和 73.33%, 不稳定组分别为 87.78%、 85.56%和 90.00%。不稳定组心绞痛、心电图和中医证候总有效率均高于稳定组, 差异具有统计学意义( P<0.05)。结论 美托洛尔胶囊更适合于 UA, 可以有效降血脂, 改善心电图, 缓解心绞痛症状, 提高中医证候积分, 值得在 UA中推广使用。 【关键词】 稳定型心绞痛;不稳定型心绞痛;药物治疗;临床意义 [Abstract] Objective To study and analyze the difference and clinical significance of drug treatment between stable angina (SA) and unstable angina (UA). Methods 180 patients with angina pectoris from January 2017 to October 2019 were selected in this study, and their clinical data were analyzed retrospectively. According to different manifestations, they were divided into stable group and unstable group, 90 cases each. Both groups were treated with metoprolol. The total effective rate of angina pectoris, ECG and TCM syndromes were compared between the two groups. Results the total effective rates of angina pectoris, ECG and TCM syndromes were 71.11%, 67.78% and 73.33% in stable group, 87.78%, 85.56% and 90.00% in unstable group, respectively. The total effective rates of angina pectoris, ECG and TCM syndromes in the unstable group were higher than those in the stable group (P < 0.05). Conclusion metoprolol capsule is more suitable for UA. It can effectively reduce blood lipid, improve ECG, relieve angina symptoms, and improve TCM syndrome score. It is worth popularizing in UA.
简介:【摘要】支架式教学,是以维果茨基的最近发展区理论为依据的,为学习者提供一种建构知识的概念框架,把复杂的学习任务加以分解,把学习者的理解逐步引向深入。从儿童潜在的发展水平开始,不断创造新的最近发展区,以学生为中心搭建脚手架,以合作为手段稳固住支架,以审美为策略延展好支架,以实践为法官评判支架,精准滴灌,行走好支架式教学的“最后一公里”,提升孩子综合人文素养。
简介:【摘要】目的:探讨动态心电图( DCG)检查在诊断不稳定型心绞痛中的应用价值。方法: 2019年 1月~ 2020年 1月,选取在我院接受治疗的不稳定型心绞痛患者 50例,对 50例患者分别实施 DCG和 CAG检查,金标准为 CAG检查的结果,从而对 DCG诊断的准确性加以计算。结果:两种方法诊断不稳定型心绞痛的特异性、敏感性对比无差异( P>0.05);两组诊断非典型性心绞痛的特异性、敏感性对比存在差异( P<0.05)。结论: DCG可对不稳定型心绞痛加以诊断,但仅依据 ST-T的改变无法确诊,特别是非典型性的心绞痛,需经由 CAG检查,并与临床特征相结合,综合予以评判。
简介:【摘要】目的: 研究采用舒适护理对不稳定性骨盆骨折患者的价值。方法:随机选取2017年7月到2019年7月在我院治疗的50例不稳定性骨盆骨折患者作为此次调查分析的样本,以抽签的方式将其分为对照组和实验组,对照组采取单纯的传统护理,并记录诊断的结果;实验组则舒适护理,并记录诊断的结果,针对两组患者的护理后并发症以及满意度进行对比。结果:实验组的护理后并发症要明显低于对照组,满意度则高于对照组,差异有统计学意义(P<0.05)。结论:通过舒适护理能够降低不稳定性骨盆骨折患者的术后并发症发生状况,提升患者对护理的满意度,帮助更好的完成手术,值得进行广泛推广。
简介: 摘 要:目的 探讨老年不稳定型心绞痛患者接受中医辨证治疗的临床效果,为临床治疗提供参考依据。 方法 选取 2018年 1月~ 2020年 1月我院接收的 58例不稳定型老年心绞痛患者来分析研究,分为对照组和治疗组,各 29例,对照组使用常规治疗,治疗组使用常规治疗联合中药汤剂治疗,两组均治疗 4周,比较其治疗效果。 结果 治疗组的临床治疗有效率比对照组高,差异有统计学差异性( P<0.05),治疗组心电图改善情况比对照组明显,差异有统计学差异性( P<0.05)。 结论 中医辨证分型治疗不稳定型老年心绞痛,患者心绞痛发作次数及心电图均改善较大,治疗效果显著,安全可靠。 关键词:不稳定性心绞痛;辨证分型;中医药 Abstract: Objective To explore the clinical effect of TCM syndrome differentiation in elderly patients with unstable angina pectoris. Methods 58 patients with unstable angina pectoris received by our hospital from January 2018 to January 2020 were selected for analysis and study. They were divided into control group and treatment group, 29 cases in each group. The control group was treated with conventional treatment, and the treatment group was treated with conventional treatment combined with traditional Chinese medicine decoction. Both groups were treated for 4 weeks, and the therapeutic effect was compared. Results the effective rate of clinical treatment in the treatment group was higher than that in the control group, and the difference was statistically significant (P < 0.05). The improvement of ECG in the treatment group was significantly higher than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion in the treatment of unstable elderly angina pectoris, the number of angina attacks and ECG were improved greatly, the treatment effect was significant, safe and reliable.
简介:【摘要】目的:探讨对不稳定型心绞痛患者实施相应护理干预的价值。方法:抽取研究人员的时间为2018年8月至2019年8月,抽取66例不稳定型心绞痛患者,根据护理措施的不同进行分组,各33例。参照组行一般护理,实验组行综合护理干预。计算研究中生活质量评分、护理效果、负性情绪评分。结果:与实验组数据作比较,参照组生活质量评分较低,组间差异性显著(p<0.05);参照组护理效果为75.76%(25/33),实验组护理效果为96.97%(32/33),经比较卡方值=6.3041,p值=0.0120;护理前比较负性情绪评分无明显差异(p>0.05),护理后相比于参照组,实验组负性情绪较低,有明显差异性(p<0.05)。结论:对不稳定型心绞痛患者实施相应护理干预,使患者保持稳定心理情绪,有利于患者恢复健康。