中西医结合治疗急性心肌梗死合并休克的临床疗效评价  

Therapeutic Effects of Integrated Traditional Chinese and Western Medicine on AMI Complicated with Shock

作　　者：王瑞明[1] 

机构地区：[1]杭州市中医院,浙江杭州310007

出　　处：《中华中医药学刊》2013年第1期96-98,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：浙江省中医药科技计划项目(2009YA018)

摘　　要：急性心肌梗死患者合并休克的发生率为10%～15%,应用常规药物治疗死亡率高达80%以上,约50%在休克开始10 h内死亡,80%在1周内死亡,是AMI病人的重要致死原因。现代医学对心肌梗死合并休克的治疗在近几年一直没有大的进展,造成其死亡率居高不下(50%～80%)。本课题选用中西医结合的方法治疗心肌梗死合并休克与单纯西医治疗进行比较,探索中医中药在治疗急性心梗合并休克的效果及其机理。结论:中西医结合治疗心肌梗死合并休克既能提高患者生存率、降低本病的死亡率,又能稳定血压,减慢心率,增加尿量,改善肢冷、发绀、出汗等临床症状。The incidence of acute myocardial infarction patients complicated with shock is 10%～15%.The mortality rate for the treatment of routine medication is over 80%.About 50%patients were dead within 10 hours after the beginning of shock,and 80%were dead within a week.This is the major death -causing factor for the AMI patients.The treatment with modern medical science of AMI with shock has made some progress in recent years.It is for this reason that the mortality rate remains high（50%～80%）.This paper compares two kinds of clinical treatment effect：integrated traditional Chinese and western medicine therapy;only western medicine therapy,and studies treatment effect and its mechanism of combined traditional Chinese and western medicine on AMI complicated with shock.Conclusions：Treating AMI complicated with shock by integrated traditional Chinese and Western medicine is an active treatment in improving survival rate,reducing the mortality rate,stabilizing blood pressure,slowing heart rate,increasing the quantity of urine,and improving the clinic symptoms like cold extremities,cyanosis,perspiration and such like obviously.

关 键 词：中西医结合 心梗合并休克 疗效 

分 类 号：R542.22[医药卫生—心血管疾病]