目的 观察氯吡格雷治疗急性心绞痛的临床效果.方法 选取2016年3月~2017年3月在扶风县胜利厂职工医院心血管内科进行治疗的92例急性心绞痛患者作为研究对象,随机分为研究组与对照组,每组46例;其中对照组给予依那普利、阿司匹林肠溶片进行治疗,研究组在对照组的基础上加用氯吡格雷.观察2组患者治疗后的临床效果,对比2组患者急性心绞痛的发生次数、持续时间以及治疗总有效率.结果 研究组患者治疗后的急性心绞痛发作次数、疼痛时间均明显低于对照组,研究组治疗总有效率明显高于对照组,差异均有统计学意义(P<0.05).结论 对于心血管内科急性心绞痛患者联合使用依那普利、阿司匹林肠溶片以及氯吡格雷进行治疗,能够有效降低患者的急性心绞痛发作次数,缩短发作疼痛持续时间,临床效果较为显著.%Objective To observe the clinical effect of acute angina pectoris in cardiovascular surgery. Methods 92 patients with acute angina were enrolled in our hospital from March 20 to March 2017 were randomly divided into study group and control group,with 46 cases in each group. The control group was treated with enalapril and aspirin enteric-coated tablets. The study group was treated with clopidogrel on the basis of the control group.The clinical effect of the two groups after treatment was observed, and the incidence, duration and total effective rate of acute angina were compared between the two groups. Results The incidence of acute angina pectoris and pain time in the study group were significantly lower than in the control group (P<0.05). The total effective rate of the treatment group was significantly higher than that of the control group (P<0.05). Conclusion The combination of enalapril, aspirin enteric-coated tablets and clopidogrel in patients with acute angina pectoris can effectively reduce the number of acute angina pectoris and shorten the duration of onset of pain. The clinical effect is significant and high clinical application value.
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