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Clinical Efficacy Analysis Of Different Regimens Of External Counterpulsation Combined With Drug Therapy In AS Patients

Posted on:2017-03-08Degree:MasterType:Thesis
Country:ChinaCandidate:L S PanFull Text:PDF
GTID:2354330536969947Subject:Internal medicine
Abstract/Summary:PDF Full Text Request
OBJECTIVE: To observe the efficacy of different courses of enhanced extracorporeal balloon counterpulsation combined with drugs in the treatment of atherosclerosis.Methods: Ninety patients with atherosclerosis were selected from the clinic.They were common in patients with cerebral infarction and coronary heart disease.The clinical symptoms and laboratory tests were compared.The patients were mainly selected for coronary artery disease and cerebral infarction.The patients were divided into three groups:group I(routine treatment group),group II(short-term anti-stroke group)and group III(long-course counterpulsation group).Closely observed the frequency and extent of angina pectoris in three groups,the degree of cerebral infarction symptoms,and recorded the changes of C-reactive protein before and after treatment.The changes of heart rate,blood pressure and ST-T before and after treatment were observed and recorded by ECG monitoring.The observation time was 7 weeks.Results: The improvement of symptoms in the patients before and after the treatment In the conventional treatment group,10 cases of angina pectoris were relieved after 3 days,8 cases had increased exercise tolerance,6 cases had reduced symptoms,7 cases had cerebral infarction symptoms And the total effective rate was 58.6%.Twenty patients had shortened duration of symptoms of angina pectoris,14 patients had increased exercise tolerance,10 patients had reduced symptoms,and 7 patients with cerebral infarction were significantly relieved.The total effective rate was 90%.In the long course of treatment,19 patients had symptoms of angina pectoris,17 patients had increased exercise tolerance,16 patients had reduced symptoms,8 patients had improved symptoms and the total effective rate was 93.1 %.The effect of short-term anti-stroke group and long-term anti-stroke group was better than that of routine treatment group,and short-term anti-stroke group had no significant difference.Changes of inflammatory factors in the conventional treatment group before and after treatment,C R P levels were not statistically significant.The serum levels of CRP in the short-term anti-stroke group were lower than those before treatment(P <0.05),and the CRP level in the long-course counterpulsation group was lower than that before the treatment(P <0.05),but the difference was not statistically significant.Conclusion: The experiment proved that the different stages of external counterpulsation combined with drug treatment of patients with atherosclerosis,are better than simple drug therapy.Short course of external balloon pump in combination with drug therapy,in the short term from the clinical of observation and long course of treatment was no significant ifference.
Keywords/Search Tags:enhanced external counterpulsation, clinical efficacy, atherosclerosis
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